Individual provider · Type 1 NPI

Stacey Jean Loughridge, LPC CANDIDATE

Mental Health Counselor · Tishomingo, OK

NPI number 1093299893 Active

Practice location

512 E 24th St
Tishomingo, OK 73460-3214

Mailing address

1016 Circle Dr
Ardmore, OK 73401-1320

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093299893

Stacey Jean Loughridge, LPC CANDIDATE's National Provider Identifier is 1093299893, issued on Sep 18, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tishomingo, OK. The record was last updated on Sep 18, 2018.