Individual
MRS. BRENDA GAYLE CHADWICK-LIECHTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.C., LPC, CM-A
Contact information
Practice address
2000 E LINCOLN RD, IDABEL, OK 74745-7353
(580) 286-6639
(580) 286-5206
Mailing address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-7800
(918) 426-5526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
10/19/2010
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