Organization
SKIES THE LIMIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA J GREEN (BEHAVIORAL HEALTH SPECALIST)
(918) 304-7071
Entity
Organization
Contact information
Practice address
900 NW 10TH ST, OKLAHOMA CITY, OK 73106-7220
(405) 528-4673
Mailing address
900 NW 10TH ST, OKLAHOMA CITY, OK 73106-7220
(405) 528-4673
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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