Individual
ELIZABETH ROSE DREADFULWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-C
Contact information
Practice address
716 S 2ND ST # 1014, STILWELL, OK 74960-4806
(918) 696-6212
Mailing address
716 S 2ND ST # 1014, STILWELL, OK 74960-4806
(918) 696-6212
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OK
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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