Mary Qualls
Rehabilitation Counselor
1101 N. Magnolia St.
Wister
, Oklahoma 74966
Mary Qualls
Rehabilitation Counselor
1101 N. Magnolia St.
Wister
, Oklahoma 74966
(918) 647-6766
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About
Features
Specialties
- Rehabilitation Counselor
Languages spoken
- English
Location
First Address
- Mary Qualls
- Po Box 685 1101 N. Magnolia St.
- Wister, OK
- Zip : 74966-0685
- Phone : (918) 647-6766
Second Address
- Mary Qualls
- 1101 N. Magnolia St.
- Wister, OK
- Zip : 74966
- Phone : (918) 647-6766
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225C00000X | Rehabilitation Counselor |
National Provider Identifier
| NPI | 1033532866 |
|---|---|
| Provider Name | Mary Qualls |
| First Address | Wister, OK 74966-0685 |
| Second Address | Wister, OK 74966 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2014 |
| Last Update Date | 30/01/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.