Elizabeth Rose Dreadfulwater, LPC-C

NPI #1578102588 in Stilwell, Oklahoma

Provider Information

NPI Number: 1578102588
Entity Type: Individual
Name: Elizabeth Rose Dreadfulwater, LPC-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC-C
Enumeration Date: Dec 23, 2019
Last Updated: Dec 23, 2019

Practice Location

Address: 716 S 2ND ST # 1014
City: Stilwell
State: Oklahoma
ZIP Code: 74960-4806
Phone: (918) 696-6212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X	Primary

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