Individual
STACY MICHELLE LOOKOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PMH-C
Contact information
Practice address
6706 E 136TH ST N, COLLINSVILLE, OK 74021-5774
(918) 949-0027
Mailing address
6706 E 136TH ST N, COLLINSVILLE, OK 74021-5774
(918) 949-0027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6702
OK
Other
Enumeration date
03/27/2014
Last updated
01/03/2025
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