| NPI | 1467967612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM LOGGAINS Licensed Professional Counselor 918-839-4695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5992) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |