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Individual

MRS. AMY ELIZABETH ADAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5705 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437
(405) 819-0111
(405) 607-1339
Mailing address
5705 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437
(405) 819-0111
(405) 607-1339

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1640
OK
101YP2500X
Professional Counselor
1640
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100849000B
OK
Enumeration date
02/22/2010
Last updated
12/03/2019
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