Individual
COURTNEY BROOKE SEE ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1700
(405) 858-1776
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
(405) 858-1700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4911
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200390430A
—
OK
Enumeration date
11/16/2010
Last updated
10/12/2017
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