Individual
ROCKSAND MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
820 W 15TH ST, EDMOND, OK 73013-3621
(405) 858-1730
Mailing address
2320 NW 115TH ST, OKLAHOMA CITY, OK 73120-7310
(773) 865-8969
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5515
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200437450
—
OK
Enumeration date
07/10/2012
Last updated
04/04/2025
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