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Casondra Laurie Millard
Mental Health Counselor in Ada, Oklahoma
NPI 1184964181

Casondra Laurie Millard is a Mental Health Counselor based in Ada, OK and is specialized in Mental Health. Casondra Laurie Millard practices in Ada, OK. The NPI Number for Casondra Laurie Millard is 1184964181 and holds a License No. (Oklahoma).

The current practice location address for Casondra Laurie Millard is 1921 Stonecipher Blvd., Ada, OK and can be reached out via phone at 580-436-3980.

Location: 1921 Stonecipher Blvd., Ada, OK, 74820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184964181
Provider Name
Casondra Laurie Millard
Credential
Provider Entity Type
Individual
Gender
Female
Address
1921 Stonecipher Blvd., Ada, OK, 74820
Phone Number
580-436-3980
Fax Number
Provider Enumeration Date
02/27/2013
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
1921 Stonecipher Blvd.
City
Ada
State
Oklahoma
Zip
74820
Phone Number
580-436-3980
Fax Number
person
Provider Business Mailing Address Details
Address
1921 Stonecipher Blvd.
City
Ada
State
Oklahoma
Zip
74820
Phone Number
580-436-3980
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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