Organization
MAYES COUNTY COUNSELING AND RESOURCES PLLC
Active
Organization
MAYES COUNTY COUNSELING AND RESOURCES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY DARYEL CUNNINGHAM MSW (PROGRAM DIRECTOR)
(918) 697-3823
Entity
Organization
Contact information
Practice address
119 WEST MAIN, CHOUTEAU, OK 74337-0961
(918) 476-4008
(918) 476-0582
Mailing address
PO BOX 961, CHOUTEAU, OK 74337-0961
(918) 697-3823
(918) 476-0582
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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