Individual
MRS. ADDISON BAILIE MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1505 E MAIN ST, STIGLER, OK 74462-2804
(800) 640-9741
(918) 967-3351
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(800) 640-9741
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10532
OK
253J00000X
Foster Care Agency
Primary
K860051454
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100733860 B
—
OK
05
—
200507310 A
—
OK
Enumeration date
06/01/2016
Last updated
04/23/2026
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