Organization
ANCHORED SOUL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAIDEN NICOLE GREEN MA, LPC (LICENSED PROFESSIONAL COUNSELOR)
(405) 765-6188
Entity
Organization
Contact information
Practice address
1605 N HARRISON ST, SHAWNEE, OK 74804-4022
(405) 765-6188
Mailing address
5545 COKER RD, SHAWNEE, OK 74804-0626
(405) 765-6188
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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