| NPI | 1083163083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA LYNN DIXON Licensed Professional Counselor 405-919-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5274) |
| Enumeration Date | 2016-10-02 |
| Last Update Date | 2024-05-20 |