Patrick McCain

Individual provider Active NPI Professional Counselor · Madill, OK

NPI 1114246089 · NPPES record last updated Jan 25, 2024

Key facts

NPI
1114246089
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
5297 (OK)
Practice address
14330 Gary Rd
Madill, OK 73446-8142
Phone
(580) 798-7790
NPI assigned
May 18, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5297OKMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5297 OK Yes

Addresses

Primary practice location

14330 Gary Rd
Madill, OK 73446-8142

Mailing address

14330 Gary Rd
Madill, OK 73446-8142
Phone (580) 798-7790

Other providers in Madill, OK

All providers in Madill, OK · Professional Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.