specializing in counselor in Ada, Oklahoma

NPI: 1184745176

Provider Type

2

Practice Locations

Mailing Location

PO BOX 126

FITTSTOWN, OK 74842

📞 5804369099

📠 5804361946

Practice Location

16050 COUNTY ROAD 1565

ADA, OK 74820

📞 5804369099

📠 5804369146

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:4/3/2007
Last Updated:7/23/2007

Credentials

Primary Credential:
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null null null - Counselor in Ada, Oklahoma