Mija Self, is a
Counselor - Professional based in Lehigh, Oklahoma. Mija Self is licensed to practice in Oklahoma (license number 7171) and her current practice location is
813 N Willow, Lehigh, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 378-2920.
NPI number for Mija Self is 1063789709 and her current mailing address is Po Box 253, Lehigh, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063789709.
Healthcare Provider's Profile
| Full Name | Mija Self |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 813 N Willow, Lehigh, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063789709
- Provider Enumeration Date: 11/23/2011
- Last Update Date: 08/30/2023
Medical Identifiers
Medical identifiers for Mija Self such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063789709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 7171 (Oklahoma) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mija Self is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mija Self,
Po Box 253,
Lehigh, OK 74556-0253
Ph: (580) 298-2830 | Mija Self,
813 N Willow,
Lehigh, OK 74523
Ph: (580) 378-2920 |
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