Individual
STEPHANIE ANN DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC U/S
Contact information
Practice address
6051 N BROOKLINE AVE STE 112, OKLAHOMA CITY, OK 73112-4286
(405) 810-0054
Mailing address
18720 LAZY GROVE DR, EDMOND, OK 73012-0037
(405) 249-8359
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCCANDIDATE13099
OK
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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