Organization
LAURA PEITZ COUNSELING SERVICES, LLC
Active
Organization
LAURA PEITZ COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA ANNE PEITZ LPC (LICENSED PROFESSIONAL COUNSELOR)
(580) 763-2802
Entity
Organization
Contact information
Practice address
1912 LAKE RD, PONCA CITY, OK 74604-4800
(580) 762-6511
(580) 762-6511
Mailing address
1912 LAKE RD, PONCA CITY, OK 74604-4800
(580) 762-6511
(580) 762-6511
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3813
OK
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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