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Organization

ASSOCIATION OF CATHOLIC COUNSELORS

Active
Other names
St Augustine Behavioral Health System
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN GEORGE STEPHENSON LPC-S (EXECUTIVE DIRECTOR)
(918) 406-6682
Entity
Organization

Contact information

Practice address
1216 W HONOLULU ST, BROKEN ARROW, OK 74012-7733
(918) 406-6680
(918) 994-7940
Mailing address
1216 W HONOLULU ST, BROKEN ARROW, OK 74012-7733
(918) 406-6680
(918) 994-7940

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100708550
OK
Enumeration date
10/06/2021
Last updated
10/06/2021
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