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Organization
WHALEN THERAPEUTIC CENTER PLLC
Active
Organization
WHALEN THERAPEUTIC CENTER PLLC
Active
Other names
CATOOSA EDUCATIONAL ASSESSMENTS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE LEE SCOTT LPC05538 (OWNER/CLINICIAN/SCHOOL PSYCHOLOGIST)
(918) 264-4365
Entity
Organization
Contact information
Practice address
1801 HWY 66, CATOOSA, OK 74015
(918) 264-4365
(888) 975-3464
Mailing address
9195 E 580 RD, CATOOSA, OK 74015
(918) 739-0340
(888) 975-3464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5538
OK
101YP2500X
Professional Counselor
2394
KS
101YP2500X
Professional Counselor
5538
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200402920B
—
OK
05
—
200575340A
—
OK
05
—
201122950A
—
KS
Enumeration date
02/07/2015
Last updated
11/27/2024
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