Organization
COUNSELING SERVICES OF YUKON ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA KAY FARLOW-WHITTENBERG PH.D. PSYCHOLOGIST (LICENSED PSYCHOLOGIST)
(405) 354-5020
Entity
Organization
Contact information
Practice address
110 S. 5TH ST, SUITE 200, YUKON, OK 73099-2601
(405) 354-5020
(405) 354-5022
Mailing address
110 S. 5TH ST, SUITE 200, YUKON, OK 73099-2601
(405) 354-5020
(405) 354-5022
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
698
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100839370A
—
OK
Enumeration date
08/29/2012
Last updated
09/06/2012
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