Individual
EDIE MICHELLE NAYFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LPC
Contact information
Practice address
3033 N WALNUT AVE, OKLAHOMA CITY, OK 73105-2832
(405) 230-1125
Mailing address
10721 N MACARTHUR BLVD, OKLAHOMA CITY, OK 73162-6914
(405) 826-0105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
178
OK
101YP2500X
Professional Counselor
2276
OK
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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