Organization
ECCLESIA COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERCY CALVERT III LPC (OWNER AND LPC)
(918) 671-7764
Entity
Organization
Contact information
Practice address
10306 N 138TH EAST AVE STE 200, OWASSO, OK 74055-4665
(918) 671-7764
Mailing address
8324 N QUEBEC AVE, SPERRY, OK 74073-4741
(918) 671-7764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6365
OK
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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