Organization
CHRYSALIS CONNECTION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHELLE D WILLIAMS (LICENSED ALCOHOL AND DRUG COUNSELOR)
(405) 397-5153
Entity
Organization
Contact information
Practice address
1401 S DOUGLAS BLVD, STE. A, MIDWEST CITY, OK 73130-5266
(405) 737-2065
Mailing address
PO BOX 271012, OKLAHOMA CITY, OK 73137-1012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1036
OK
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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