Tiffany Dawn Stokely

Individual provider Active NPI Counselor · Oklahoma, OK

NPI 1265780837 · NPPES record last updated Aug 29, 2012

Key facts

NPI
1265780837
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
1701 E Park PL
Oklahoma, OK 73117
Phone
(405) 468-3139
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

1701 E Park PL
Oklahoma, OK 73117

Mailing address

1701 E Park PL
Oklahoma, OK 73117
Phone (405) 468-3139

Other identifiers

IdentifierTypeStateIssuer
392068921OtherOKPRIVATE ORGANIZATION

Other providers in Oklahoma, OK

All providers in Oklahoma, OK · Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.