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Organization

TRANSFORMATION CHRISTIAN COUNSELING,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISRISTOPHER GIBSON (DIRECTOR)
(405) 340-7400
Entity
Organization

Contact information

Practice address
1100 E I 35 FRONTAGE RD, EDMOND, OK 73034-7327
(405) 340-7400
(405) 285-5981
Mailing address
1100 E I 35 FRONTAGE RD, EDMOND, OK 73034-7327
(405) 340-7400
(405) 285-5981

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
990
OK
101YP2500X
Professional Counselor
Primary
3898
OK
101YP2500X
Professional Counselor
4667
OK

Other

Enumeration date
01/11/2017
Last updated
01/11/2017
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