NPI | 1235202458 |
---|---|
Entity Type | Organization |
Authorized Contact | FRAN DELONG CARONA Therapists 918-492-2385 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 926) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 466) |
103TC0700X Psychologist, Clinical (Licence: OK 990) | |
103TC0700X Psychologist, Clinical (Licence: OK 737) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OK 508) | |
1041C0700X Social Worker, Clinical (Licence: OK 1542) | |
1041C0700X Social Worker, Clinical (Licence: OK 2472) | |
1041C0700X Social Worker, Clinical (Licence: OK 2122) | |
Enumeration Date | 2006-11-16 |
Last Update Date | 2020-08-22 |