Individual
MS. FABIANA M MALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2 E 11TH ST, EDMOND, OK 73034
(405) 473-6980
(340) 473-6980
Mailing address
600 FOX HUNT LN, EDMOND, OK 73003-6277
(405) 473-6980
(405) 340-6980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1248
OK
101YP2500X
Professional Counselor
Primary
1248
OK
Other
Enumeration date
09/05/2008
Last updated
06/28/2018
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