Sandra L Borne Tustin, LPC
Individual provider Active NPI Professional Counselor · Stigler, OK
NPI 1306086459 · NPPES record last updated Mar 3, 2009
Key facts
- NPI
- 1306086459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 1505 E Main St
Suite a
Stigler, OK 74462-2804 - Phone
- (918) 967-4560
- Fax
- (918) 967-4582
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
| Quest Mhsa | Past | Accepting new patients |
Interoperability endpoints
- sandratustin@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
1505 E Main St
Suite a
Stigler, OK 74462-2804
Mailing address
PO Box 179
Stigler, OK 74462-0179
Phone (918) 967-3368
Other names
- Sandra L Bourne
Other providers in Stigler, OK
- Bayleigh Bates
- Molly Rachel Black
- Misty Boatman
- Russell Boatman
- Jennifer Leigh Bond
- Kenneth John Boyd
- Shannon Jo Boyd
- Bradley E Brewer
- Dalena Brewer
- Eric S. Broadway
All providers in Stigler, OK · Professional Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.