| Lane-hicks Counseling & Art Therapy Ctr Pc | |
|
1716 Walnut Cove Rd Edmond OK 73013-7663 | |
| (405) 503-2791 | |
| Not Available |
| Full Name | Lane-hicks Counseling & Art Therapy Ctr Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1716 Walnut Cove Rd, Edmond, Oklahoma |
| Authorized Official Name and Position | Stephanie M. Lane-hicks (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4055032791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lane-hicks Counseling & Art Therapy Ctr Pc 1725 E 15th St Edmond OK 73013-6602 Ph: (405) 503-2791 | Lane-hicks Counseling & Art Therapy Ctr Pc 1716 Walnut Cove Rd Edmond OK 73013-7663 Ph: (405) 503-2791 |
| NPI Number | 1457651879 |
|---|---|
| Provider Enumeration Date | 11/01/2010 |
| Last Update Date | 11/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457651879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3774 (Oklahoma) | Primary |
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