Individual
ALEXIS STREATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
905 E WILSON ST, SHAWNEE, OK 74804-4165
(405) 214-0116
Mailing address
PO BOX 2276, SEMINOLE, OK 74818-2276
(405) 819-5205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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