Organization
SARA DURHAM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA GALE DURHAM LPC (OWNER)
(405) 226-2251
Entity
Organization
Contact information
Practice address
1500 S MIDWEST BLVD, STE. 102, MIDWEST CITY, OK 73110-4946
(405) 226-2251
Mailing address
1500 S MIDWEST BLVD, STE. 102, MIDWEST CITY, OK 73110-4946
(405) 226-2251
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5848
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200458210 C
—
OK
Enumeration date
12/16/2015
Last updated
12/16/2015
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