Provider Demographics
NPI:1396979670
Name:MCCONNELL, DARCY CECELIA (LPC, LADC)
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:CECELIA
Last Name:MCCONNELL
Suffix:
Gender:F
Credentials:LPC, LADC
Other - Prefix:
Other - First Name:DARCY
Other - Middle Name:CECELIA
Other - Last Name:MCCONNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:2000 SONOMA PARK DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-2092
Mailing Address - Country:US
Mailing Address - Phone:405-285-7260
Mailing Address - Fax:405-285-2280
Practice Address - Street 1:2000 SONOMA PARK DR
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-2092
Practice Address - Country:US
Practice Address - Phone:405-285-7260
Practice Address - Fax:405-285-2280
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-14
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4633101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100731270 AMedicaid