Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 101YS0200X | School Counselor | 301493 | OK |
NPI | 1033483268 |
---|---|
Provider Name | Stephanie A Belle |
First Address | Chickasha, OK 73018-7327 |
Second Address | Chickasha, OK 73018-7327 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2012 |
Last Update Date | 28/08/2012 |