Individual
CESILEY BOUSEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., BHRS
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
1900 KICKINGBIRD RD APT 113, EDMOND, OK 73034-6215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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