Individual
MRS. KATIE MARIE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
127 CECIL LN # 127, CHATTANOOGA, TN 37412-2211
(405) 979-0276
Mailing address
12875 WILLOW BAY DR, OKLAHOMA CITY, OK 73165-3201
(405) 979-0276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10857
OK
Other
Enumeration date
05/14/2019
Last updated
01/02/2025
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