Individual
LORI DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
922 S 6TH ST., MCALESTER, OK 74502-1234
(918) 698-7176
Mailing address
PO BOX 1234, MCALESTER, OK 74502-1234
(918) 698-7176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103TRO4OOX
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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