Individual provider · Type 1 NPI

Stacey Tate, M.ED., L.P.C.

Mental Health Counselor · Edmond, OK

NPI number 1124429071 Active

Practice location

307 E Danforth Rd Ste 118
Edmond, OK 73034-4484

Call (405) 285-4700 Map

Mailing address

1221 Pine Ridge Cir
Edmond, OK 73034-5434

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5452 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1124429071

Stacey Tate, M.ED., L.P.C.'s National Provider Identifier is 1124429071, issued on Sep 10, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edmond, OK. The record was last updated on Sep 10, 2014.