Individual
CORA L. ECKENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1910 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-5437
(918) 458-5757
(918) 458-5755
Mailing address
1910 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-5437
(918) 458-5757
(918) 458-5755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
375
OK
101YP2500X
Professional Counselor
Primary
1527
OK
Other
Enumeration date
07/30/2007
Last updated
09/27/2011
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