Individual
BOBBI LANELL STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1916 E PERKINS AVE, GUTHRIE, OK 73044-5804
(405) 282-8232
(405) 282-3305
Mailing address
PO BOX 1182, GUTHRIE, OK 73044-1182
(405) 282-8232
(405) 828-3305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADCUNDER SUPERVISIO
OK
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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