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Organization
OUTDOOR ACHIEVEMENT GROUP, L.L.C.
Active
Organization
OUTDOOR ACHIEVEMENT GROUP, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY L WHITAKER PH.D., LMFT (CLINICAL DIRECTOR)
(405) 361-1754
Entity
Organization
Contact information
Practice address
8265 S WALKER AVE, OKLAHOMA CITY, OK 73139-9451
(405) 361-1754
(405) 563-9511
Mailing address
10401 S TRAFALGAR DR, OKLAHOMA CITY, OK 73139-5508
(405) 361-1754
(405) 563-9511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
10/01/2025
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