| Doctor Name: | MRS. CHELSEA LEIGH STICKLER |
| NPI Number: | 1023422276 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2 N Water St Sapulpa, OK - 740662816 |
| Business Phone Number: | 9182245975 |
| Business Fax Number: | 9182245975 |
| Mailing Address: | 8156 S 107th East Ave, Apartment P TULSA |
| State: | OK |
| Postal Code: | 741338311 |
| Phone Number: | 2542060981 |
| Fax Number: | |
| NPI Enumeration Date: | 06/16/2014 |
| NPI Last Update Date: | 06/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |