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Individual

MRS. LEAH RACHELLE CHUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
401 S DEWEY AVE STE 108, BARTLESVILLE, OK 74003-3525
(405) 328-4065
Mailing address
401 S DEWEY AVE STE 108, BARTLESVILLE, OK 74003-3525
(405) 328-4065

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
LPC07743
OK

Other

Enumeration date
07/09/2014
Last updated
08/29/2024
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