Individual
MS. CONNIE M STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHR, LPC - C
Contact information
Practice address
1616 S GARY PL, TULSA, OK 74104-5219
(918) 748-8488
Mailing address
1616 S GARY PL, TULSA, OK 74104-5219
(918) 748-8488
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200081620A
—
OK
05
—
200081620B
—
OK
Enumeration date
08/25/2010
Last updated
08/25/2014
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