Individual
STEPHANIE REDDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 S ASH ST, NOWATA, OK 74048-4628
(918) 273-7344
(918) 999-0111
Mailing address
325 S ASH ST, NOWATA, OK 74048-4628
(918) 273-7344
(918) 999-0111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC 1068
KS
106H00000X
Marriage & Family Therapist
Primary
1335
OK
106H00000X
Marriage & Family Therapist
640
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200435840A
—
KS
Enumeration date
05/03/2007
Last updated
09/25/2019
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