Organization
HEALING HEART AND MIND COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA A KOZAREVICH LPC (OWNER)
(580) 491-1671
Entity
Organization
Contact information
Practice address
222 E GRAND AVE, SUITE 300, PONCA CITY, OK 74601-4316
(580) 491-1671
Mailing address
222 E GRAND AVE, SUITE 300, PONCA CITY, OK 74601-4316
(580) 491-1671
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/01/2014
Last updated
07/28/2015
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