Organization
WESTSIDE COUNSELING AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LEISA CARROL ROBERTS LCSW (OWNER/DIRECTOR)
(918) 384-8649
Entity
Organization
Contact information
Practice address
574 BRUSH CREEK ROAD, SAND SPRINGS, OK 74063-0493
(918) 384-8649
(918) 245-8118
Mailing address
574 BRUSH CREEK ROAD, SAND SPRINGS, OK 74063-0493
(918) 384-8649
(918) 245-8118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4432
OK
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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