Organization
GREEN COUNTRY COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG COOK MS LPC (OWNER)
(918) 760-3164
Entity
Organization
Contact information
Practice address
3104 S ELM PL STE G, BROKEN ARROW, OK 74012-7949
(918) 760-3164
Mailing address
3700 W HARTFORD ST, BROKEN ARROW, OK 74012-2107
(918) 760-3164
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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