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Organization

SOUTHSIDE BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMY MARIE BROWN MRH, LPC (LIC PROF COUNSELOR/OWNER/MANAGER)
(918) 697-9345
Entity
Organization

Contact information

Practice address
124 N 1ST ST, JENKS, OK 74037-3912
(918) 697-9345
Mailing address
124 N 1ST ST, JENKS, OK 74037-3912
(918) 697-9345

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5244
OK

Other

Enumeration date
09/22/2014
Last updated
09/22/2014
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