Individual
MRS. STEPHANIE LYNN BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHR, LPC
Contact information
Practice address
8520 W KELLY SUE DR, STILLWATER, OK 74074-1560
(405) 612-4773
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC03284
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3284
COUNSELOR-MENTAL HEALTH
OK
Enumeration date
10/31/2007
Last updated
09/15/2023
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