Tedlock, Virginia
Tedlock, Virginia is an individual health care provider with primary practice located at 1904 Gordon Cooper Dr , Shawnee OK 74801-8603. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Tedlock, Virginia can be contacted via phone (405) 273-2157.Contact Information
Primary practice address
1904 Gordon Cooper Dr
Shawnee OK 74801-8603
Phone: (405) 273-2157
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1965 | Oklahoma |
Profile Details
| NPI number | 1851831432 |
|---|---|
| LBN Legal business name | Tedlock, Virginia |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2017 |
| Last updated | Mar 2nd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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