Organization
OWASSO COUNSELING SERVICES,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. PATRICIA ANN HARTMULLER MA,LPC,LMFT,SAP (EXECUTIVE DIRECTOR)
(918) 274-7311
Entity
Organization
Contact information
Practice address
8555 N 117TH EAST AVE, SUITE 205, OWASSO, OK 74055-0000
(918) 274-7311
(918) 272-0600
Mailing address
PO BOX 956, OWASSO, OK 74055-0956
(918) 274-7311
(918) 272-0600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
146
OK
101YP2500X
Professional Counselor
Primary
2809
OK
106H00000X
Marriage & Family Therapist
797
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHARTMULLER3
OUT PATIENT BEHAVIORAL/MENTAL HEALTH & SUBSTANCE ABUSE
OK
Enumeration date
09/18/2008
Last updated
04/26/2011
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