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Organization
THE LAUGHING SHARK, INC.
Active
Organization
THE LAUGHING SHARK, INC.
Active
Other names
ADSAC OKC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE J WILLIAMS M.ED, LPC, LADC/MH (OWNER)
(405) 519-7471
Entity
Organization
Contact information
Practice address
11212 N MAY AVE STE 107, OKLAHOMA CITY, OK 73120
(405) 229-3237
Mailing address
PO BOX 20326, OKLAHOMA CITY, OK 73156-0326
(405) 229-3237
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1111
OK
101YP2500X
Professional Counselor
5258
OK
Other
Enumeration date
05/11/2017
Last updated
08/08/2020
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