Individual
TESSICA RACHEL TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
17789 E CHARTER OAK RD, LUTHER, OK 73054-9583
(405) 615-4841
Mailing address
17789 E CHARTER OAK RD, LUTHER, OK 73054-9583
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6495
OK
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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