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Organization
FUNDAMENTALS COUNSELING SERVICES,LLC
Active
Organization
FUNDAMENTALS COUNSELING SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY RUSK (EXECUTIVE DIRECTOR)
(479) 228-1120
Entity
Organization
Contact information
Practice address
747 HWY 59 #4, WESTVILLE, OK 74965
(918) 723-3735
(918) 723-3730
Mailing address
994 N MOSELEY RD, COLCORD, OK 74338-3383
(479) 228-1120
(918) 723-3730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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