Organization
INDIGO BRIDGES COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN A DANIEL LPC (OWNER)
(918) 891-6928
Entity
Organization
Contact information
Practice address
1541 E 61ST ST, TULSA, OK 74136-0718
(918) 891-6928
Mailing address
1541 E 61ST ST, TULSA, OK 74136-0718
(918) 891-6928
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7580
LPC LICENSE
OK
Enumeration date
04/28/2021
Last updated
02/14/2025
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