Organization
MUSTANG COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLA HANSELMAN M.A, LPC (THERAPIST)
(405) 353-0203
Entity
Organization
Contact information
Practice address
609 N CHISHOLM TRAIL WAY, MUSTANG, OK 73064-3644
(405) 353-0203
Mailing address
609 N CHISHOLM TRAIL WAY, MUSTANG, OK 73064-3644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6047
OK
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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