Organization
ISAIAH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE RAE JEFFRIES NICHOLS LPC (OWNER/PROVIDER)
(479) 755-5801
Entity
Organization
Contact information
Practice address
305 E RAY FINE BLVD STE 3, ROLAND, OK 74954-5160
(479) 755-5801
Mailing address
PO BOX 226, ROLAND, OK 74954-0226
(479) 755-5801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4595
OK
Other
Enumeration date
11/01/2015
Last updated
04/17/2017
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