Organization
LIFE'S JOURNEY COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEONA TANNER LADC (EXECUTIVE DIRECTOR)
(918) 728-0159
Entity
Organization
Contact information
Practice address
307 W 4TH AVE, BRISTOW, OK 74010-2804
(918) 807-5070
(918) 807-5071
Mailing address
307 W 4TH AVE, BRISTOW, OK 74010-2804
(918) 807-5070
(918) 807-5071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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