Individual
TARA CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1600 E 19TH ST STE 404, EDMOND, OK 73013-6624
(405) 510-0852
Mailing address
16017 SHEFFIELD BLVD, EDMOND, OK 73013-2043
(405) 613-0852
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11733
OK
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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