Individual
MS. LISA LAVERNE REICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSHR, LPC, CM III
Contact information
Practice address
507 E HARRISON AVE, MCALESTER, OK 74501-3929
(918) 916-7932
Mailing address
507 E HARRISON AVE, MCALESTER, OK 74501-3929
(918) 916-7932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200359380 A
—
OK
Enumeration date
11/20/2010
Last updated
01/29/2016
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