Organization
CHRYSALIS HEALTH SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID NICKELL L.C.S.W. (THERAPIST/OWNER)
(405) 230-1183
Entity
Organization
Contact information
Practice address
3033 N WALNUT AVE, WEST BUILDING, 2ND FLOOR (MIRAWORX), OKLAHOMA CITY, OK 73105-2832
(405) 230-1183
Mailing address
3033 NORTH WALNUT, OKLAHOMA CITY, OK 73105
(405) 230-1183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3950
OK
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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