Organization
SOULS OF SOLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID CORDLE JR. LPC (LLC MEMBER/LICENSED THERAPIST)
(918) 850-6503
Entity
Organization
Contact information
Practice address
6931 S 66TH EAST AVE, TULSA, OK 74133-1754
(918) 221-0705
Mailing address
112 N BROADWAY ST, CLEVELAND, OK 74020-3810
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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