Individual
ATRESA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5209
(405) 425-0372
Mailing address
6420 BLACKBIRD DR, OKLAHOMA CITY, OK 73145
(229) 591-2949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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