Provider Demographics
NPI:1750512588
Name:DELARRE, ELIZABETH CHYLENE (LPC)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:CHYLENE
Last Name:DELARRE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1225 W MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6824
Mailing Address - Country:US
Mailing Address - Phone:405-292-1000
Mailing Address - Fax:405-808-5557
Practice Address - Street 1:1225 W MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6824
Practice Address - Country:US
Practice Address - Phone:405-292-1000
Practice Address - Fax:405-808-5557
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4156101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional