Individual
TERYL PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LADC
Contact information
Practice address
2 WICKERSHAM DR., NEW HOPE RECOVERY CENTER, MANGUM, OK 73554
(580) 782-3337
Mailing address
2 WICKERSHAM DR., NEW HOPE RECOVERY CENTER, MANGUM, OK 73554
(580) 782-3337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16
OK
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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