Individual
JULIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2225 N UNION ST, PONCA CITY, OK 74601-1536
(580) 749-5056
Mailing address
2225 N UNION ST, PONCA CITY, OK 74601-1536
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7422
OK
Other
Enumeration date
02/01/2013
Last updated
04/17/2020
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