Individual provider · Type 1 NPI

Virginia Tedlock, LPC

Professional Counselor · Shawnee, OK

NPI number 1851831432 Active

Practice location

1904 Gordon Cooper Dr
Shawnee, OK 74801-8603

Call (405) 273-2157 Map

Mailing address

394006 E LL50 Rd
Weleetka, OK 74880

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1965 (OK)

Professional Counselor: Definition to come...

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About NPI 1851831432

Virginia Tedlock, LPC's National Provider Identifier is 1851831432, issued on Mar 2, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shawnee, OK. The record was last updated on Mar 2, 2017.