Individual
CONNIE ROSE FINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
307 E AVENUE D, HEAVENER, OK 74937-3437
(479) 652-1948
Mailing address
307 E AVENUE D, HEAVENER, OK 74937-3437
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2403019
AR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
04/29/2021
Last updated
01/21/2026
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