Individual
MRS. GEORGIA SIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 POINTE PARKWAY BLVD, SUITE B, YUKON, OK 73099-0600
(405) 693-9886
Mailing address
1112 LAUREL CREEK DR, YUKON, OK 73099-5832
(405) 693-9886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5235
OK
101YP2500X
Professional Counselor
5235
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200367200A
—
OK
Enumeration date
10/02/2008
Last updated
02/20/2014
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