Brenda S Bause, LPC
Counselor, Mental Health in Ardmore, OK. Individual provider (NPI-1).
NPI number1083632004
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1083632004
- Entity type
- Individual (NPI-1)
- Name
- Ms. Brenda S Bause
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 2337 | OK | Yes |
Practice location
27b South WestSuite 100 & 200
Ardmore, OK 73401
Phone 918-712-0859 · Fax 918-388-6456
Mailing address
Po Box 722Ada, OK 74821-0722
Phone 405-210-1110
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All 108 Mental Health Counselor providers in Ardmore · All 1,684 providers in Ardmore
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