Individual
SHAE GREGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
1019 WATERWOOD PKWY STE B, EDMOND, OK 73034-5329
(405) 655-6087
Mailing address
1019 WATERWOOD PKWY STE B, EDMOND, OK 73034-5329
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6168
OK
106H00000X
Marriage & Family Therapist
1188
OK
Other
Enumeration date
08/29/2016
Last updated
08/17/2021
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