Individual
MRS. AMY L TOLLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1200 E TAMARACK RD, ALTUS, OK 73521-1234
(580) 482-4095
(580) 481-2499
Mailing address
1200 E TAMARACK RD, ALTUS, OK 73521-1234
(580) 482-4095
(580) 481-2499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3609
OK
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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