Individual
MRS. TINA WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC CANDIDATE
Contact information
Practice address
420 W GRANT AVE, PAULS VALLEY, OK 73075-2809
(405) 238-4161
Mailing address
420 W GRANT AVE, PAULS VALLEY, OK 73075-2809
(405) 238-4161
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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