Organization
WELLSTON PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M BASHORUN LPC (THERAPIST)
(405) 356-2533
Entity
Organization
Contact information
Practice address
800 BIRCH STREET, WELLSTON, OK 74881
(405) 356-2533
(405) 356-2838
Mailing address
800 BIRCH STREET, PO BOX 60, WELLSTON, OK 74881
(405) 356-2533
(405) 356-2838
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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