| NPI | 1184166597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY C MCCONNELL Therapist 405-919-7388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 896) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 4633) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2024-01-16 |