Provider Demographics
NPI:1669515201
Name:MCGEE, EILEEN L (LPC, LADC)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:L
Last Name:MCGEE
Suffix:
Gender:F
Credentials:LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ELK CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73644-4237
Mailing Address - Country:US
Mailing Address - Phone:580-225-7930
Mailing Address - Fax:580-225-7930
Practice Address - Street 1:100 S MONROE ST STE 15
Practice Address - Street 2:
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-5762
Practice Address - Country:US
Practice Address - Phone:580-303-0527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14101YA0400X
OK2322101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health