Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | 225C00000X | OK |
NPI | 1194060640 |
---|---|
Provider Name | Ms. Courtney Ann Harman |
First Address | Stillwater, OK 74075-1324 |
Second Address | Stillwater, OK 74075-1324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2012 |
Last Update Date | 10/12/2012 |