Individual
AFAF ASAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3201 N MUSTANG RD, YUKON, OK 73099-3399
(405) 401-8343
Mailing address
12301 KINGSBROOK RD, OKLAHOMA CITY, OK 73142-5114
(405) 401-8343
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3320
OK
Other
Enumeration date
02/13/2011
Last updated
02/13/2011
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