Individual
HEATHER FAYE ANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
8012 NBU, 1211 BRUNSON, PRAGUE, OK 74864-4044
(405) 567-2649
Mailing address
8012 NBU, 1211 BRUNSON, PRAGUE, OK 74864-4044
(405) 567-2649
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3390
OK
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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