Individual
MISS ASHLEY R WALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHR ,LPC
Contact information
Practice address
3112 S NYSSA AVE, BROKEN ARROW, OK 74012-7685
(918) 813-6684
Mailing address
3112 S NYSSA AVE, BROKEN ARROW, OK 74012-7685
(918) 813-6684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4622
OK
Other
Enumeration date
06/03/2007
Last updated
01/26/2015
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