Organization
SUNDANCE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY STEWART PC (OWNER)
(918) 928-2601
Entity
Organization
Contact information
Practice address
13413 E 106TH ST N, OWASSO, OK 74055-5910
(918) 928-2601
Mailing address
PO BOX 1194, OWASSO, OK 74055-1194
(918) 928-2601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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