Individual
MRS. PAMELA SUE HEATHCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4500 S GARNETT RD, SUITE 900, TULSA, OK 74146-5229
(918) 665-3090
(918) 665-3092
Mailing address
PO BOX 152, ELGIN, OK 73538-0152
(580) 492-5374
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2887
OK
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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