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Ms. Sandra Sue Dale Boulware, LPC,MAC
School Counselor in Miami, Oklahoma
NPI 1235373465

Sandra Sue Dale Boulware is a School Counselor based in Miami, OK and is specialized in School. Sandra Sue Dale Boulware practices in Miami, OK and has the professional credentials of LPC,MAC. The NPI Number for Sandra Sue Dale Boulware is 1235373465 and holds a License No. 440 (Oklahoma).

The current practice location address for Sandra Sue Dale Boulware is 1121 K St Nw, Miami, OK and can be reached out via phone at 918-542-5671.

Location: 1121 K St Nw, Miami, OK, 74354-2915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235373465
Provider Name
Sandra Sue Dale Boulware
Credential
LPC,MAC
Provider Entity Type
Individual
Gender
Female
Address
1121 K St Nw, Miami, OK, 74354-2915
Phone Number
918-542-5671
Fax Number
Provider Enumeration Date
05/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1121 K St Nw
City
Miami
State
Oklahoma
Zip
74354-2915
Phone Number
918-542-5671
Fax Number
person
Provider Business Mailing Address Details
Address
1121 K St Nw
City
Miami
State
Oklahoma
Zip
74354-2915
Phone Number
918-542-5671
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
440 (Oklahoma)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
15991 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
440 (Oklahoma)
Definition
Definition to come...
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