Organization
ALTUS FAMILY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY JEAN LORAH M.A. LPC (CEO/CLINICAL DIRECTOR)
(580) 379-0677
Entity
Organization
Contact information
Practice address
1116 N MAIN ST STE M12, ALTUS, OK 73521-3149
(580) 379-0677
(580) 482-0008
Mailing address
1116 N MAIN ST STE M12, ALTUS, OK 73521-3149
(580) 379-0677
(580) 482-0008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
05/18/2021
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