Individual
MS. STACEY NICOLE DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1505 COPPER COVE DR, EDMOND, OK 73013-3009
(405) 590-0900
Mailing address
1505 COPPER COVE DR, EDMOND, OK 73013-3009
(405) 590-0900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3147
OK
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/06/2007
Last updated
02/10/2023
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