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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