NPI | 1295117356 |
---|---|
Entity Type | Organization |
Authorized Contact | LACEY REIKOWSKY Licensed Professional Counselor 405-401-5725 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4300) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OK 4300) |
101YM0800X Counselor, Mental Health (Licence: OK 4300) | |
Enumeration Date | 2015-06-25 |
Last Update Date | 2015-06-25 |