| NPI | 1780235010 |
|---|---|
| Doing Business As | COUNTRYSIDE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | AMY M BOWEN Owner 405-694-1462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |