Organization
COMMUNITY COUSELORS GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE BLY BA (BHRS)
(918) 424-5769
Entity
Organization
Contact information
Practice address
225 W ADAMS AVE, MCALESTER, OK 74501-4307
(918) 424-5769
Mailing address
113 W ADA AVE, WILBURTON, OK 74578-2416
(918) 297-3200
(918) 297-3401
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
Other
Enumeration date
09/29/2011
Last updated
10/03/2011
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