Individual
ALICIA ANN CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
827 E HUBBARD RD, PONCA CITY, OK 74601-1073
(580) 762-3224
Mailing address
827 E HUBBARD RD, PONCA CITY, OK 74601-1073
(580) 762-3224
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
OK
Other
Enumeration date
06/12/2019
Last updated
06/23/2023
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