Organization
FRESH START COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA DENISE BOWLER-SHOPEYIN LPC CANDIDATE (CHIEF OPERATING OFFICER)
(405) 487-8134
Entity
Organization
Contact information
Practice address
4801 CLASSEN BOULEVARD, SUITE 159, OKLAHOMA CITY, OK 73108
(405) 487-8134
(405) 601-8890
Mailing address
4801 N CLASSEN BLVD, SUITE 159, OKLAHOMA CITY, OK 73118-4627
(405) 487-8134
(405) 601-8890
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1912150892
OK
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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