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Organization

BOULOMAI COUNSELING AND CONSULTING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHERYL LORRAINE MURDOCK PH.D., LPC (EXECUTIVE DIRECTOR)
(405) 637-6210
Entity
Organization

Contact information

Practice address
6801 S DONNA LN, OKLAHOMA CITY, OK 73150-6206
(405) 637-6210
Mailing address
6801 S DONNA LN, OKLAHOMA CITY, OK 73150-6206
(405) 637-6210

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2866
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2866
OKLAHOMA STATE DEPARTMENT OF HEALTH
OK
Enumeration date
11/02/2013
Last updated
11/02/2013
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