Individual
LISA NICHOLE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2530 S COMMERCE, ARDMORE, OK 73401-0189
(580) 223-5636
(580) 226-6727
Mailing address
403 ASH ST, ARDMORE, OK 73401-1720
(580) 223-5636
(580) 226-6727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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