| Stacia A. Buchanan, Msbs, Lpc-s | |
|
249 Lake Crest Dr Lawton OK 73507-9330 | |
| (580) 730-0084 | |
| (833) 279-4266 |
| Full Name | Stacia A. Buchanan, Msbs, Lpc-s |
|---|---|
| Speciality | Counselor - Professional |
| Location | 249 Lake Crest Dr, Lawton, Oklahoma |
| Authorized Official Name and Position | Stacia Adele Buchanan (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5807300084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacia A. Buchanan, Msbs, Lpc-s 1503 W Gore Blvd Lawton OK 73501-3608 Ph: (580) 730-0232 | Stacia A. Buchanan, Msbs, Lpc-s 249 Lake Crest Dr Lawton OK 73507-9330 Ph: (580) 730-0084 |
| NPI Number | 1194410563 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 08/05/2024 |
| Certification Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194410563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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