| NPI | 1942659743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNN SWANSON Owner/Therapist 580-699-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 2468) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 914) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |