| NPI | 1255871703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY R BAILEY Licensed Professional Counselor 405-474-1813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 6232) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OK 6232) |
| 101YP2500X Counselor Professional (Licence: OK 6232) | |
| 106H00000X Marriage & Family Therapist (Licence: OK 6232) | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |