person
Amy Dolezal, LPC
Professional Counselor in Stillwater, Oklahoma
NPI 1568870400

Amy Dolezal is a Professional Counselor based in Perry, OK and is specialized in Professional. Amy Dolezal practices in Stillwater, OK and has the professional credentials of LPC. The NPI Number for Amy Dolezal is 1568870400 and holds a License No. 6212 (Oklahoma).

The current practice location address for Amy Dolezal is 604 S Walnut St, Stillwater, OK and can be reached out via phone at 844-458-2100.

Location: 604 S Walnut St, Stillwater, OK, 73077-3223
person
Provider Profile Details
NPI Number
1568870400
Provider Name
Amy Dolezal
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
604 S Walnut St, Stillwater, OK, 73077-3223
Phone Number
844-458-2100
Fax Number
Provider Enumeration Date
07/23/2014
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200551210 B 05 OK
institution
Provider Business Practice Location Address Details
Address
604 S Walnut St
City
State
Zip
74074-4222
Phone Number
844-458-2100
Fax Number
person
Provider Business Mailing Address Details
Address
604 S Walnut St
City
State
Zip
74074-4222
Phone Number
844-458-2100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2492 (Kansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6212 (Oklahoma)
Definition
Definition to come...
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