Organization
CENTER 4 CHANGE, L.L.C.
Active
Other names
Center 4 Change
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA J. COUNTZ M.ED., L.P.C. (PRESIDENT)
(918) 694-9677
Entity
Organization
Contact information
Practice address
111 S MAIN ST, MCALESTER, OK 74501-5363
(918) 694-9677
(918) 423-5255
Mailing address
111 S MAIN ST, MCALESTER, OK 74501-5363
(918) 694-9677
(918) 423-5255
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4163
OK
171W00000X
Contractor
133823
OK
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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