| 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 |