Individual
LADONNA KAY AUTREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1414 N KENNEDY AVE, STE 111 DOCTOR'S BLDG, SHAWNEE, OK 74801-4700
(405) 360-2133
Mailing address
424 N MARKET AVE, SHAWNEE, OK 74801-6724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2421
OK
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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