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Organization
SAGE COUNSELING CENTER
Active
Organization
SAGE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOUISE CRAFTS LPC (OWNER/OPERATOR)
(405) 655-0100
Entity
Organization
Contact information
Practice address
929 NW 164TH ST, EDMOND, OK 73013-1002
(405) 655-0100
(405) 655-5833
Mailing address
929 NW 164TH ST, EDMOND, OK 73013-1002
(405) 655-0100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
01/02/2019
Last updated
11/07/2019
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