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Organization

LANE-HICKS COUNSELING & ART THERAPY CTR PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STEPHANIE M. LANE-HICKS LPC, ATR-BC (LICENSED PROFESSIONAL COUNSELOR)
(405) 503-2791
Entity
Organization

Contact information

Practice address
1716 WALNUT COVE RD, EDMOND, OK 73013-7663
(405) 503-2791
Mailing address
1725 E 15TH ST, EDMOND, OK 73013-6602
(405) 503-2791

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3774
OK

Other

Enumeration date
11/01/2010
Last updated
11/01/2010
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