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Organization
VIVACITY COUNSELING, PLLC
Active
Organization
VIVACITY COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON BREAUX M. ED., LPC (OWNER/COUNSELOR)
(405) 365-5082
Entity
Organization
Contact information
Practice address
1211 N SHARTEL AVE STE 405, OKLAHOMA CITY, OK 73103-2425
(405) 977-0505
Mailing address
2013 NW 22ND ST, OKLAHOMA CITY, OK 73106-1617
(405) 365-5082
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6363
OK
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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