Individual
MS. CONNIE CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-CANDIDATE
Contact information
Practice address
608 HIGHWAY 271 N, ANTLERS, OK 74523-2055
(580) 298-5062
(580) 298-9958
Mailing address
PO BOX 374, ANTLERS, OK 74523-0374
(580) 298-5062
(580) 298-9958
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200111200A
—
OK
Enumeration date
04/25/2011
Last updated
04/25/2011
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