Organization
CREATIVE LIFE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA JACQUELYN HUGHES (OPERATIONS MANAGER)
(580) 583-0821
Entity
Organization
Contact information
Practice address
502 NORTH SHERIDAN, SUITE 4, LAWTON, OK 73505
(580) 583-0821
Mailing address
502 NORTH SHERIDAN BLVD., SUITE 4, LAWTON, OK 73505
(580) 583-0821
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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