Organization
CROSSTIMBERS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE LESLIE LPC (OWNER/THERAPIST)
(918) 409-2219
Entity
Organization
Contact information
Practice address
715 W MAIN ST STE N, JENKS, OK 74037-3553
(918) 409-2219
Mailing address
715 W MAIN ST STE N, JENKS, OK 74037-3553
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/26/2023
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