Individual
ALEXANDRIA COSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
317 W MAIN ST, NORMAN, OK 73069-1312
(405) 821-0795
Mailing address
2950 S SERVICE RD APT 4633, MOORE, OK 73160-5673
(405) 821-0795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1708278
—
101YP2500X
Professional Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295253276
—
AR
Enumeration date
08/30/2017
Last updated
11/14/2022
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