Organization
CROSSROADS COUNSELING OF SOUTHEAST OKLAHOMA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE J TISDALE M.ED., LPC (CEO)
(918) 497-8859
Entity
Organization
Contact information
Practice address
620 E COURT ST, ATOKA, OK 74525-3016
(580) 364-0170
(580) 364-0170
Mailing address
620 E COURT ST, ATOKA, OK 74525-3016
(580) 364-0170
(580) 364-0170
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3710
OK
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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