Organization
BROKEN ARROW COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTINE BRENDA BOLLEY LPC (OWNER)
(918) 850-2747
Entity
Organization
Contact information
Practice address
1175 S ASPEN AVE, SUITE J, BROKEN ARROW, OK 74012-4800
(918) 850-2747
Mailing address
712 N SWEET GUM AVE, BROKEN ARROW, OK 74012-2156
(918) 850-2747
(188) 844-6117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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