Individual
MR. JEFFREY L STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
16301 SONOMA PARK DRIVE, EDMOND, OK 73013
(405) 620-4242
Mailing address
14621 LAMPLIGHT LANE, EDMOND, OK 73013-1547
(405) 620-4242
(405) 302-1265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC2540
OK
101YP2500X
Professional Counselor
2540
OK
Other
Enumeration date
01/30/2007
Last updated
12/07/2009
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