Individual
MRS. LAURA A THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6003 N ROBINSON, SUITE 107, OKLAHOMA CITY, OK 73118
(405) 210-1356
(405) 736-0840
Mailing address
1811 EAST COFFEE CREEK ROAD, EDMOND, OK 73034-5806
(405) 210-1356
(405) 736-0840
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3330
OK
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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