Individual provider · Type 1 NPI
Stacie Lorinda Ridley, LPC
Mental Health Counselor · Broken Arrow, OK
NPI number
1922596295
Active · reactivated Jul 11, 2023
Practice location
11740 S 129th East Ave
Broken Arrow, OK 74011-1901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1922596295
Stacie Lorinda Ridley, LPC's National Provider Identifier is 1922596295, issued on Apr 23, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Broken Arrow, OK. The record was last updated on Jul 26, 2023.