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Organization
ANCHORED SOUL COUNSELING, LLC
Active
Organization
ANCHORED SOUL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAIDEN NICOLE GREEN MA, LPC (LICENSED PROFESSIONAL COUNSELOR)
(405) 765-6188
Entity
Organization
Contact information
Practice address
1605 N HARRISON ST, SHAWNEE, OK 74804-4022
(405) 765-6188
Mailing address
5545 COKER RD, SHAWNEE, OK 74804-0626
(405) 765-6188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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