Organization
S.O.S. COUNSELING GROUP OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MATLOCK-PARSON MHR, LPC (OWNER/CEO)
(580) 678-3424
Entity
Organization
Contact information
Practice address
1930 NW FERRIS AVE, SUITE 2, LAWTON, OK 73507-5626
(580) 678-3424
Mailing address
1930 NW FERRIS AVE, SUITE 2, LAWTON, OK 73507-5626
(580) 678-3424
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5646
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200432390B
—
OK
Enumeration date
09/22/2015
Last updated
09/22/2015
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