Individual
SUSAN RENEE TERHUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10577 N 121ST EAST AVE, OWASSO, OK 74055-5112
(918) 859-6622
Mailing address
10577 N 121ST EAST AVE, OWASSO, OK 74055-5112
(918) 859-6622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10916
OK
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200933350A
—
OK
Enumeration date
07/21/2020
Last updated
11/02/2022
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