Individual
DEANA MARIE THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
2530 S. COMMERCE ST., ARDMORE, OK 73402-0189
(580) 223-5070
(580) 226-5617
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 223-5070
(580) 226-5617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12938
TX
101YM0800X
Mental Health Counselor
Primary
1391
OK
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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