Individual
AZRA BUKSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D LPC
Contact information
Practice address
2805 S BRYANT AVE, SUITE A, EDMOND, OK 73013-6161
(405) 340-0766
Mailing address
2805 S BRYANT AVE, SUITE A, EDMOND, OK 73013-6161
(405) 340-0766
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1453
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1453
LPC NUMBER
OK
Enumeration date
12/01/2006
Last updated
07/08/2007
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