Provider Demographics
NPI:1124252937
Name:GARRISON, VALERIE MAE (MBS, LPC, LADC)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:MAE
Last Name:GARRISON
Suffix:
Gender:F
Credentials:MBS, LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S MONROE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:ELK CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73644-5761
Mailing Address - Country:US
Mailing Address - Phone:405-763-8063
Mailing Address - Fax:580-339-8045
Practice Address - Street 1:100 S MONROE ST STE 5
Practice Address - Street 2:
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-5761
Practice Address - Country:US
Practice Address - Phone:405-763-8063
Practice Address - Fax:580-339-8045
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2096101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional