Individual
MRS. LEA ANN GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
7200 RUSTIC CREEK RD, OKLAHOMA CITY, OK 73165-7131
(405) 245-9520
(405) 793-8855
Mailing address
7200 RUSTIC CREEK RD, OKLAHOMA CITY, OK 73165-7131
(405) 245-9520
(405) 793-8855
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3904
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200036310B
—
OK
01
—
900522105
MEDICARE GROUP
OK
Enumeration date
03/14/2008
Last updated
09/15/2011
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