Organization
ABUNDANT GRACE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANALISA NIETO PENA LPC CANDIDATE (CEO)
(918) 269-9511
Entity
Organization
Contact information
Practice address
2448 E 81ST ST STE 5125, TULSA, OK 74137-4213
(918) 392-7875
(800) 260-7966
Mailing address
2448 E 81ST ST STE 5125, TULSA, OK 74137-4213
(918) 392-7875
(800) 260-7966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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