Individual
CAMRYN COLEEN PIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 NW 63RD ST, OKLAHOMA CITY, OK 73116-1921
(918) 268-7179
Mailing address
525 LIBERTY LN, EDMOND, OK 73034-9046
(210) 667-5544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/09/2022
Last updated
10/29/2024
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