Matlock, Colleen

Matlock, Colleen is an individual health care provider with primary practice located at 123 W 6Th Ave , Bristow OK 74010-2801. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Matlock, Colleen can be contacted via phone (918) 510-7412.

Contact Information

Primary practice address
123 W 6Th Ave Bristow OK 74010-2801
Phone: (918) 510-7412
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1598178972
LBN Legal business name Matlock, Colleen
Credentials LPC CANDIDATE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2014
Last updated Jun 4th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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