Individual
MRS. CASSANDRA BOURNIVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2417 WILCOX DR, NORMAN, OK 73069-3956
(405) 276-4747
Mailing address
200 MIDWAY DR, NORMAN, OK 73072-4318
(580) 678-4236
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1306
OK
Other
Enumeration date
03/28/2012
Last updated
07/06/2020
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