Organization
ANGELA L. STANLEY, LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA STANLEY LPC (OWNER)
(580) 483-7030
Entity
Organization
Contact information
Practice address
1529 W GORE BLVD, C2, LAWTON, OK 73501-3646
(580) 483-7030
Mailing address
PO BOX 6654, LAWTON, OK 73506-0654
(580) 483-7030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6222
OK
101YP2500X
Professional Counselor
Primary
6222
OK
Other
Enumeration date
03/05/2017
Last updated
03/05/2017
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