Individual
AMY CAUSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N DALTON AVE, VALLIANT, OK 74764
(580) 933-7031
(580) 933-7034
Mailing address
PO BOX 673, VALLIANT, OK 74764-0673
(580) 933-7031
(580) 933-7034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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