Individual
MRS. PHYLLIS BROWN VANHEMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED LPC
Contact information
Practice address
3855 SOUTH BOULEVARD, EDMOND, OK 73013-5499
(405) 340-4321
(405) 340-9408
Mailing address
3400 LYTAL LANE, EDMOND, OK 73013-6910
(405) 340-4446
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1404
OK
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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