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NPI Code Detail

MEDICARE: SERENA STOALABARGER LPC

MEDICARE: SERENA STOALABARGER LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2226OK

General Provider Information

NPI Number : 1821281189
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERENA STOALABARGER LPC
Provider Business Mailing Address
First Line : 6262 S SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74133-4055
Country : US
Telephone Number : 918-492-8200
Fax Number : 918-493-3268
Provider Business Practice Location Address
First Line : 6440 S LEWIS AVE STE 2200
Second Line :
City : TULSA
State : OK
Zip : 74136-1060
Country : US
Telephone Number : 918-712-0859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2007
Last Update Date : 05/10/2024

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Directions to “ SERENA STOALABARGER LPC” Practice Location

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