Organization
LONGNECKER COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA LONGNECKER LPC (OWNER)
(918) 625-5332
Entity
Organization
Contact information
Practice address
7014 S. 235TH E. AVE., BROKEN ARROW, OK 74014
(918) 625-5332
Mailing address
7014 S. 235TH E. AVE., BROKEN ARROW, OK 74014
(918) 625-5332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2453
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619945201
PERSONAL NPI
OK
Enumeration date
01/30/2009
Last updated
01/30/2009
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