Organization
STACEY STEPHENS, LPC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY A STEPHENS LPC (COUNSELOR)
(214) 926-1311
Entity
Organization
Contact information
Practice address
44100 45TH ST, SHAWNEE, OK 74804-9432
(214) 926-1311
Mailing address
44100 45TH ST, SHAWNEE, OK 74804-9432
(214) 926-1311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4367
OK
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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