Virginia Tedlock, LPC

NPI #1851831432 in Shawnee, Oklahoma

Provider Information

NPI Number
1851831432
Entity Type
Individual
Name
Virginia Tedlock, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Mar 2, 2017
Last Updated
Mar 2, 2017

Practice Location

Address
1904 GORDON COOPER DR
ZIP Code
74801-8603
Phone
(405) 273-2157

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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