Organization
BLUE LOTUS THERAPEUTIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE WORTHINGTON LPC (PRESIDENT)
(918) 528-3505
Entity
Organization
Contact information
Practice address
531 E A ST, SUITE 101B, JENKS, OK 74037-4102
(918) 528-3505
Mailing address
531 E A ST, SUITE 101B, JENKS, OK 74037-4102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4546
OK
Other
Enumeration date
01/01/2017
Last updated
01/01/2017
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