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Organization
WOHL'S COUNSELING CLINIC,LLC
Active
Organization
WOHL'S COUNSELING CLINIC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA JO WOHL LPC (OWNER)
(580) 762-6511
Entity
Organization
Contact information
Practice address
400 E CENTRAL AVE, STE.303E, PONCA CITY, OK 74601-5429
(580) 762-6511
(580) 762-6511
Mailing address
400 E CENTRAL AVE, STE.303E, PONCA CITY, OK 74601-5429
(580) 762-6511
(580) 762-6511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3745
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200094600A
—
OK
Enumeration date
06/29/2010
Last updated
06/29/2010
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