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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