Individual
LAURA BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC CANDIDATE
Contact information
Practice address
2224 W 12TH AVE, STILLWATER, OK 74074-5154
(405) 377-3380
Mailing address
406 S DUNCAN ST, STILLWATER, OK 74074-3281
(405) 372-9000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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