Organization
HOLISTIC COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA RUTH ROWE L.C.S.W. (CLINICIAN)
(918) 814-4451
Entity
Organization
Contact information
Practice address
840 S ASPEN AVE STE E, BROKEN ARROW, OK 74012-4803
(918) 814-4451
Mailing address
840 S ASPEN AVE STE E, BROKEN ARROW, OK 74012-4803
(918) 814-4451
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3890
OK
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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