Individual
MS. THEODORA LADELL MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2216 NATCHEZ DR, NORMAN, OK 73071-2026
(405) 321-1146
Mailing address
2216 NATCHEZ DR, NORMAN, OK 73071-2026
(405) 321-1146
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2652
OK
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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