Individual
OLIVIA PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6612 NW 42ND ST, BETHANY, OK 73008-2764
(405) 717-6200
Mailing address
30518 HAMILTON RD, MACOMB, OK 74852-9778
(405) 294-7393
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10236
STATE OF OKLAHOMA STATE BOARD OF BEHAVIORAL HEALTH LICENSURE
OK
Enumeration date
12/17/2018
Last updated
09/21/2022
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