Organization
SEQUOYAH COUNSELING SERVICES OF OKLAHOMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN THOMAS COULBOURN MA (MANAGING MEMBER)
(918) 635-5082
Entity
Organization
Contact information
Practice address
2505 N BROADWAY ST, POTEAU, OK 74953-2050
(918) 635-5082
Mailing address
210 OAK ST, PMB 300, POTEAU, OK 74953-2339
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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