Individual
STACI LYNN THURSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2737 SE 89TH TER, MOORE, OK 73160-9192
(802) 417-8827
Mailing address
2737 SE 89TH TER, MOORE, OK 73160-9192
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
04/23/2024
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