Individual
MS. DEBORAH ANN SPAETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1708 PARK LANE DR, EDMOND, OK 73003-4609
(405) 401-8234
Mailing address
1708 PARK LANE DR, EDMOND, OK 73003-4609
(405) 401-8234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
330
OK
101YP2500X
Professional Counselor
1019
OK
106H00000X
Marriage & Family Therapist
Primary
41
OK
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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