Individual
MRS. JOLLY A VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
312 NE 28TH ST STE 101, OKLAHOMA CITY, OK 73105-2804
(405) 231-3150
Mailing address
4808 NW 161ST STREET, EDMOND, OK 73013
(405) 330-0239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
78247
TX
Other
Enumeration date
02/11/2010
Last updated
05/09/2023
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