Individual
TESSA JANE CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
1719 SW 11TH ST, LAWTON, OK 73501-7305
(580) 581-1818
Mailing address
12345 NW MILLER RD, LAWTON, OK 73507-5956
(580) 492-5085
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4042
OK
101YS0200X
School Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
930
OK
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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