Individual
MACHAELIE SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
3037 NW 63RD ST STE 201, OKLAHOMA CITY, OK 73116-3608
(405) 623-6025
Mailing address
3037 NW 63RD ST STE 201, OKLAHOMA CITY, OK 73116-3608
(405) 623-6025
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6621
OK
Other
Enumeration date
08/08/2012
Last updated
12/26/2023
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