Organization
NORTHSTAR COUNSELING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNER DALMOND GODWIN LPC (CO-OWNER)
(405) 623-0154
Entity
Organization
Contact information
Practice address
4540 E RENO AVE, DEL CITY, OK 73117
(405) 623-1454
Mailing address
204 BURK WAY, DEL CITY, OK 73115-2012
(405) 623-1454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6765
OK
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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