Individual
SHEILA J SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
601 N GRAND AVE, TAHLEQUAH, OK 74464-2302
(918) 444-2120
(918) 445-8234
Mailing address
601 N GRAND AVENUE, NORTHEASTERN STATE UNIVERSITY OFFICE OF STUDENT AFFAIRS, TAHLEQUAH, OK 74464
(918) 444-2120
(918) 458-2340
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3357
OK
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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