NPI | 1003986811 |
---|---|
Entity Type | Organization |
Authorized Contact | LEAH LENEE DANLEY Owner 405-517-8673 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OK LPC2982) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK LPC2982) |
101YP2500X Counselor, Professional (Licence: OK LPC2982) | |
Enumeration Date | 2006-11-09 |
Last Update Date | 2020-08-22 |