Organization
LIFE MANAGEMENT COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER RAE GLOVER LPC (EXECUTIVE DIRECTOR)
(580) 351-1188
Entity
Organization
Contact information
Practice address
621 SW D AVE, LAWTON, OK 73501-4507
(580) 351-1188
(580) 351-1313
Mailing address
621 SW D AVE, LAWTON, OK 73501-4507
(580) 351-1188
(580) 351-1313
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2890
OK
Other
Enumeration date
04/30/2009
Last updated
04/30/2009
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