Organization
FAITH BASED COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE WATSON LPC (CEO)
(580) 239-2071
Entity
Organization
Contact information
Practice address
120 E COURT ST, ATOKA, OK 74525-2032
(580) 509-5041
Mailing address
PO BOX 52, ATOKA, OK 74525-0052
(580) 239-2071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5448
OK
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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