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Individual

ASHLEY CONSTABLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-C

Contact information

Practice address
620 NW 5TH ST, MOORE, OK 73160-3948
(405) 208-4469
Mailing address
5216 MACKELMAN DR, OKLAHOMA CITY, OK 73135-4320

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
OK
103TC1900X
Counseling Psychologist
OK

Other

Enumeration date
05/15/2023
Last updated
05/25/2023
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