Individual
PAULA SUE LISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
411 W CHICKASHA AVE, SUITE 303, CHICKASHA, OK 73018-2505
(405) 222-4786
(405) 222-1615
Mailing address
911 S 5TH ST, CHICKASHA, OK 73018-4606
(405) 222-4122
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2759
OK
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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