Deborah A Fallis, LPC UNDER SUPERVISIO

NPI #1265642631 in Ada, Oklahoma

Provider Information

NPI Number
1265642631
Entity Type
Individual
Name
Deborah A Fallis, LPC UNDER SUPERVISIO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LPC UNDER SUPERVISIO
Enumeration Date
May 23, 2007
Last Updated
Jan 28, 2008

Practice Location

Address
1705 CRADDUCK RD
City
Ada
ZIP Code
74820
Phone
(580) 310-9000

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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