Stac Embry
Counselor, Addiction (Substance Use Disorder) in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1699181925
StatusActive
Last updated in NPPESJul 8, 2014
Details
- NPI
- 1699181925
- Entity type
- Individual (NPI-1)
- Name
- Stac Embry
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2014
- Last updated
- Jul 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
3321 N. McKinley AveOklahoma City, OK 73118
Phone 405-602-2022
Mailing address
3321 N McKinley AveOklahoma City, OK 73118-3439
Phone 405-602-2022
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