Individual
ALICIA THOMASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(844) 458-2100
Mailing address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(844) 458-2100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10675
OK
Other
Enumeration date
04/02/2020
Last updated
06/13/2022
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