NPI 1679799886 · live from the CMS NPI Registry
Laurna J Champ, Ph.D
Marriage & Family Therapist in Sallisaw, OK. National Provider Identifier 1679799886, active.
NPI record
| NPI | 1679799886 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 204 E Choctaw Ave, Sallisaw, OK 74955 |
| Practice phone | 918-790-2292 |
| Enumerated | April 17, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | 422 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.