Organization
CREOKS BEHAVIORAL HEALTH SERVICES
Active
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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