Most Relevant Information
Provider Data
NPI Number: | 1003424532 |
Provider Name: | SUSAN RENEE TERHUNE LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 07/21/2020 |
Last Updated: | 11/02/2022 |
Provider Practice Location
10577 N 121ST EAST AVE
OWASSO
OK
740555112
Practice Location Phone/Fax
Phone: | 9188596622 |
Fax: |
Provider Mailing Location
10577 N 121ST EAST AVE
OWASSO
OK
740555112
Provider Mailing Phone/Fax
Phone: | 9188596622 |
Fax: |