| NPI | 1487169629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY STANKEWITZ Licensed Professional Counselor 918-647-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6081) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |