Individual
NERCISSA E NEWBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1721 W 33RD ST STE B, EDMOND, OK 73013-3834
(405) 513-3382
Mailing address
1604 NW 179TH TER, EDMOND, OK 73012-4182
(405) 923-2806
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10787
OK
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/03/2020
Last updated
07/12/2022
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