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Organization

FUNDAMENTALS COUNSELING SERVICES,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY RUSK (EXECUTIVE DIRECTOR)
(479) 228-1120
Entity
Organization

Contact information

Practice address
747 HWY 59 #4, WESTVILLE, OK 74965
(918) 723-3735
(918) 723-3730
Mailing address
994 N MOSELEY RD, COLCORD, OK 74338-3383
(479) 228-1120
(918) 723-3730

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/30/2014
Last updated
04/30/2014
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