Individual
ANGELA L STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2301 SW 43RD ST, LAWTON, OK 73505-8044
(580) 583-3858
Mailing address
PO BOX 6654, LAWTON, OK 73506-0654
(580) 583-3858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6222
OK
101YP2500X
Professional Counselor
6222
OK
171W00000X
Contractor
6222
OK
Other
Enumeration date
03/18/2014
Last updated
03/26/2021
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