Organization
STAGES2CHANGE, LLC
Active
Other names
Susan F. Buck
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN FAY BUCK LADC (OWNER/COUNSELOR)
(918) 333-3197
Entity
Organization
Contact information
Practice address
1924 LIMESTONE RD, BARTLESVILLE, OK 74006-6714
(918) 333-3197
(918) 333-3197
Mailing address
1924 LIMESTONE RD, BARTLESVILLE, OK 74006-6714
(918) 333-3197
(918) 333-3197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
731
OK
Other
Enumeration date
08/31/2011
Last updated
09/07/2011
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