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Organization

SOUTHEASTERN OKLAHOMA COUNSELING SERVICES PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK WADE ELIFRITZ MSW LCSW (THERAPIST/OWNER)
(918) 413-4840
Entity
Organization

Contact information

Practice address
205 DEWEY AVE, SUITE #2, POTEAU, OK 74953-4224
(918) 413-4840
(918) 649-0404
Mailing address
301 JOY DR, BOKOSHE, OK 74930-2504
(918) 413-4840
(918) 649-0404

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2430
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154526432
OK
Enumeration date
08/22/2012
Last updated
09/28/2012
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