| Angela L. Stanley, Lpc | |
|
1529 W Gore Blvd C2 Lawton OK 73501-3646 | |
| (580) 483-7030 | |
| Not Available |
| Full Name | Angela L. Stanley, Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1529 W Gore Blvd, Lawton, Oklahoma |
| Authorized Official Name and Position | Angela Stanley (OWNER) |
| Authorized Official Contact | 5804837030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela L. Stanley, Lpc Po Box 6654 Lawton OK 73506-0654 Ph: (580) 483-7030 | Angela L. Stanley, Lpc 1529 W Gore Blvd C2 Lawton OK 73501-3646 Ph: (580) 483-7030 |
| NPI Number | 1235679671 |
|---|---|
| Provider Enumeration Date | 03/05/2017 |
| Last Update Date | 03/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235679671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6222 (Oklahoma) | Secondary |
| 101YP2500X | Counselor - Professional | 6222 (Oklahoma) | Primary |
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