Organization
HOPE REVEALED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERENA WARD M.ED., LPC (OWNER)
(405) 596-3833
Entity
Organization
Contact information
Practice address
2218 N KICKAPOO AVE, SHAWNEE, OK 74804-2703
(405) 596-3833
Mailing address
2218 N KICKAPOO AVE, SHAWNEE, OK 74804-2703
(405) 596-3833
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
4722
OK
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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