Provider Demographics
NPI:1245551100
Name:STETSON, SEQUITA SUE (LMFT)
Entity type:Individual
Prefix:MS
First Name:SEQUITA
Middle Name:SUE
Last Name:STETSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 STARBROOK CT
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-4722
Mailing Address - Country:US
Mailing Address - Phone:405-401-5434
Mailing Address - Fax:
Practice Address - Street 1:203 HAL MULDROW DR
Practice Address - Street 2:SUITE 5
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-5287
Practice Address - Country:US
Practice Address - Phone:405-401-5434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK#235106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist