Organization
CHRISTIAN COUNSELING PLUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE JEAN BURROUGH LCSW (OWNER)
(580) 436-9099
Entity
Organization
Contact information
Practice address
16050 COUNTY ROAD 1565, ADA, OK 74820-7911
(580) 436-9099
(580) 436-9146
Mailing address
PO BOX 126, FITTSTOWN, OK 74842-0126
(580) 436-9099
(580) 436-1946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1805
OK
Other
Enumeration date
04/03/2007
Last updated
07/23/2007
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