Individual
MRS. SELENE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2000 E 15TH ST, BUILDING 100, SUITE F, EDMOND, OK 73013-6697
(405) 509-9194
Mailing address
4357 PRESERVE PL, EDMOND, OK 73034-9267
(405) 509-9194
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5273
OK
Other
Enumeration date
02/18/2014
Last updated
03/09/2015
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