Organization
COMMUNITY COUNSELORS GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY ALINE RILEY LPC (OWNER)
(918) 297-2609
Entity
Organization
Contact information
Practice address
310 S 10TH ST, HARTSHORNE, OK 74547-4212
(918) 297-3400
(918) 297-3401
Mailing address
310 S 10TH ST, HARTSHORNE, OK 74547-4212
(918) 297-3400
(918) 297-3401
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2158
OK
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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