Individual
MS. LISA DE AMBER KOMAHCHEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
3212 SW 104TH TER, 2915 N CLASSEN BLVD. SUITE 325, OKLAHOMA CITY, OK 73159-7800
(405) 213-3700
(405) 208-4574
Mailing address
3212 SW 104TH TER, OKLAHOMA CITY, OK 73159-7800
(405) 213-3700
(405) 208-4574
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
#588
OK
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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