Organization
DYNAMIC PSYCHOLOGICAL & MEDIATION SERVICES
Active
Other names
Dynamic Psychological & Mediation Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GICHUKI MS, LPC (DIRECTOR/OWNER)
(580) 402-1696
Entity
Organization
Contact information
Practice address
104 S 7TH ST, CLINTON, OK 73601
(580) 402-1696
Mailing address
311 GRANITE WASH, CLINTON, OK 73601-3649
(580) 402-1696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6010
OK
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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