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Organization

CREOKS BEHAVIORAL HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER RAE MINTON M.S. LPC CANDIDATE (BHRS)
(620) 404-8981
Entity
Organization

Contact information

Practice address
426 W LOS ANGELES PL, BROKEN ARROW, OK 74011-4835
(620) 404-8981
Mailing address
426 W LOS ANGELES PL, BROKEN ARROW, OK 74011-4835
(620) 404-8981

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
25103TC1900X
OK

Other

Enumeration date
06/21/2012
Last updated
06/21/2012
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