Individual
SHELLY HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
704 SW 111TH ST, OKLAHOMA CITY, OK 73170-5806
(405) 474-9614
Mailing address
704 SW 111TH ST, OKLAHOMA CITY, OK 73170-5806
(405) 474-9614
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3516
OK
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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