Organization
NEW LIFE COUNSELING ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD S WAGUESPACK JR. BTH, MSW, LCSW (OWNER / PROVIDER)
(580) 500-8050
Entity
Organization
Contact information
Practice address
603 W GARY BLVD, CLINTON, OK 73601-2715
(580) 500-8050
(888) 344-9087
Mailing address
303 N MARKET ST, CORDELL, OK 73632-4229
(580) 500-8050
(888) 344-9087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201156640-A
—
OK
Enumeration date
01/11/2023
Last updated
09/12/2025
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