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Individual

STEPHANIE UPCHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
PO BOX 183, SALLISAW, OK 74955-0183
(479) 308-8511
Mailing address
PO BOX 183, SALLISAW, OK 74955-0183
(794) 806-8354

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
C9151
OR
101YP2500X
Professional Counselor
Primary
LPC06809
OK

Other

Enumeration date
01/20/2016
Last updated
03/22/2026
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