Provider Demographics
NPI:1669700746
Name:STONECIPHER, ANGELA DAWN (BHRS, CM)
Entity type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:DAWN
Last Name:STONECIPHER
Suffix:
Gender:F
Credentials:BHRS, CM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1361
Mailing Address - Street 2:
Mailing Address - City:EL RENO
Mailing Address - State:OK
Mailing Address - Zip Code:73036-1361
Mailing Address - Country:US
Mailing Address - Phone:405-262-5422
Mailing Address - Fax:405-262-5422
Practice Address - Street 1:203 S ROCK ISLAND AVE
Practice Address - Street 2:
Practice Address - City:EL RENO
Practice Address - State:OK
Practice Address - Zip Code:73036-2734
Practice Address - Country:US
Practice Address - Phone:405-262-5422
Practice Address - Fax:405-262-5422
Is Sole Proprietor?:No
Enumeration Date:2009-11-30
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health