Individual
LEA BRILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
703 SW 2ND ST, KINGSTON, OK 73439-8001
(580) 371-3672
(580) 371-3651
Mailing address
703 SW 2ND ST, KINGSTON, OK 73439-8001
(580) 371-3672
(580) 371-3651
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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