Organization
COUNSELING DYNAMICS AND RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY M NDUNGU THERAPIST (LPC)
(918) 408-4366
Entity
Organization
Contact information
Practice address
5350 E 46TH ST STE 127, TULSA, OK 74135-6601
(918) 408-4366
(918) 292-8779
Mailing address
5319 E 95TH ST, TULSA, OK 74137-4423
(918) 408-4366
(918) 292-8779
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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