| Doctor Name: | LAURA DENISE GARRISON |
| NPI Number: | 1578691911 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MBS,LPC, CMA |
| License Number: | 3129 |
| Business Practice Address: | 1407 Ne D St Suite B Stigler, OK - 744622815 |
| Business Phone Number: | 9189678491 |
| Business Fax Number: | 9189672552 |
| Mailing Address: | 602 Ne 5th St, STIGLER |
| State: | OK |
| Postal Code: | 744621924 |
| Phone Number: | 9189679924 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3129 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |