Individual
MRS. LESLIE L. BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
58150 E. 66TH ROAD, MIAMI, OK 74354
(918) 542-1786
(918) 542-3052
Mailing address
P.O. BOX 876, 58150 E. 66TH ROAD, MIAMI, OK 74355
(918) 542-1786
(918) 542-3052
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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