Individual
GLADYS E STEPHNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC UNDER SUPERVISI
Contact information
Practice address
221 N WEWOKA AVE, WEWOKA, OK 74884-2221
(405) 257-9030
Mailing address
PO BOX 662, PURCELL, OK 73080-0662
(405) 527-1785
(405) 527-1084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
UNDER SUPERVISION
OK
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746700B
—
OK
Enumeration date
05/31/2007
Last updated
04/15/2010
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