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Organization

GILEAD COUNSELING CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THANGKHAN KHAM GUALNAM M.A., LPC (DIRECTOR)
(918) 388-7017
Entity
Organization

Contact information

Practice address
2448 E 81ST ST STE 2045, TULSA, OK 74137-4271
(918) 388-7017
Mailing address
2448 E 81ST ST STE 2045, TULSA, OK 74137-4271
(918) 388-7017

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
06/30/2017
Last updated
07/21/2022
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