Organization
TAYLOR MADE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESSICA R TAYLOR M.ED., LPC (LICENSED PROFESSIONAL COUNSELOR)
(405) 615-4841
Entity
Organization
Contact information
Practice address
2801 PARKLAWN DR, MIDWEST CITY, OK 73110-4211
(405) 615-4841
Mailing address
17789 E CHARTER OAK RD, LUTHER, OK 73054-9583
(405) 615-4841
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6495
OK
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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