| Aleicia L Stafford Lpc Rpt Pllc | |
|
5509 Main St Ste 102 Del City OK 73115-5511 | |
| (405) 706-2190 | |
| Not Available |
| Full Name | Aleicia L Stafford Lpc Rpt Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5509 Main St Ste 102, Del City, Oklahoma |
| Authorized Official Name and Position | Aleicia L Stafford (OWNER) |
| Authorized Official Contact | 4057062190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aleicia L Stafford Lpc Rpt Pllc 5509 Main St Ste 102 Del City OK 73115-5511 Ph: (405) 706-2190 | Aleicia L Stafford Lpc Rpt Pllc 5509 Main St Ste 102 Del City OK 73115-5511 Ph: (405) 706-2190 |
| NPI Number | 1053822536 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053822536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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