Individual
MRS. ANGELA SIBESO OGUNBASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC/MH
Contact information
Practice address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
(405) 372-2202
(405) 372-2237
Mailing address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
(405) 372-2202
(405) 372-2237
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1266
OK
Other
Enumeration date
08/08/2012
Last updated
03/26/2024
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