Organization
RURAL AREA COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISHA DAWN HENSON MS, LPC (CEO)
(405) 379-3505
Entity
Organization
Contact information
Practice address
223 N BROADWAY ST, HOLDENVILLE, OK 74848-3416
(405) 379-3505
(405) 379-3546
Mailing address
223 N BROADWAY ST, HOLDENVILLE, OK 74848-3416
(405) 379-3505
(405) 379-3546
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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