Individual
HOLLY R CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBS, LBP
Contact information
Practice address
120 S 4TH ST, OKEMAH, OK 74859-3802
(918) 623-1199
(918) 623-2334
Mailing address
PO BOX 74, PADEN, OK 74860-0074
(405) 249-4361
(918) 623-2334
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0176
OK
103TB0200X
Cognitive & Behavioral Psychologist
Primary
0176
OK
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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