Individual
HOLLIE BLACKSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 LIBERTY LN, EDMOND, OK 73034-9046
(918) 671-2846
Mailing address
525 LIBERTY LN, EDMOND, OK 73034-9046
(405) 726-8966
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
06/01/2018
Last updated
04/10/2023
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