Organization
COUNTRYSIDE COUNSELING, PLLC
Active
Other names
Countryside Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
AMY M BOWEN LPC (OWNER)
(405) 694-1462
Entity
Organization
Contact information
Practice address
44038 45TH ST, SHAWNEE, OK 74804-9683
(405) 481-6683
Mailing address
32221 REDSKIN RD, MCLOUD, OK 74851-8174
(405) 694-1462
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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