Organization
EDMOND COUNSELING & PROFESSIONAL DEVELOPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICAH PERKINS LPC, LADC (OWNER)
(405) 625-6785
Entity
Organization
Contact information
Practice address
1300 E 9TH ST, SUITE, 5, EDMOND, OK 73034-5756
(405) 440-3034
(405) 440-3034
Mailing address
1300 E 9TH ST, SUITE, 5, EDMOND, OK 73034-5756
(405) 440-3034
(405) 440-3034
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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