Organization
GROWTH COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STORMY LEE BULLARD MBR (COO/ THERAPIST)
(918) 407-2662
Entity
Organization
Contact information
Practice address
301 E MAIN ST STE B, WILBURTON, OK 74578-4416
(918) 407-2662
(918) 917-5261
Mailing address
301 E MAIN ST STE B, WILBURTON, OK 74578-4416
(918) 407-2662
(918) 917-5261
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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