Individual
NICOLE DANIEL BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC UNDER SUPERVISIO
Contact information
Practice address
198 E ALMAR DR, CHICKASHA, OK 73018-7327
(405) 222-5437
Mailing address
PO BOX 454, ALEX, OK 73002-0454
(405) 320-0561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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