Organization
COUNSELING SERVICES OF LEFLORE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LYNN TUSTIN LPC (OWNER)
(918) 649-0772
Entity
Organization
Contact information
Practice address
900 N BROADWAY ST, POTEAU, OK 74953-2617
(918) 649-0772
Mailing address
PO BOX 1335, POTEAU, OK 74953-1335
(918) 649-0772
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4265
OK
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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