Individual
STEPHANIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC, ADSAC
Contact information
Practice address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 573-6476
Mailing address
909 ALAMEDA ST, NORMAN, OK 73071-5229
(405) 573-6476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
195
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
641
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1129
ADSAC
OK
01
—
195
CADC
OK
Enumeration date
03/20/2007
Last updated
03/31/2008
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