Karen Benson, MEDLPC UNDERSUPERVIS
Individual provider Active NPI Mental Health Counselor · Wister, OK
NPI 1831420652 · NPPES record last updated Jul 17, 2014
Key facts
- NPI
- 1831420652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 34002 Holson Valley Rd
Wister, OK 74966-2628 - Phone
- (918) 649-7246
- NPI assigned
- Jan 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
34002 Holson Valley Rd
Wister, OK 74966-2628
Mailing address
34002 Holson Valley Rd
Wister, OK 74966-2628
Phone (918) 649-7246
Other providers in Wister, OK
- Abc Occupational Therapy Connections LLC
- Kim Evans
- Melinda Sue Greer
- Diana NA Hames
- Makayla Hubbard
- Linda K McGowen
All providers in Wister, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.