Organization
STACIA A. BUCHANAN, MSBS, LPC-S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA ADELE BUCHANAN MSBS, LPC (PROFESSIONAL COUNSELOR)
(580) 730-0084
Entity
Organization
Contact information
Practice address
249 LAKE CREST DR, LAWTON, OK 73507-9330
(580) 730-0084
(833) 279-4266
Mailing address
1503 W GORE BLVD, LAWTON, OK 73501-3608
(580) 730-0232
(833) 279-4266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
08/05/2024
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