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Organization

THE LIFE CONNECTION COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. R. BRENT SHARPE LPC, LMFT (DIRECTOR)
(918) 496-9588
Entity
Organization

Contact information

Practice address
7145 S BRADEN AVE, TULSA, OK 74136-6302
(918) 496-9588
Mailing address
7145 S BRADEN AVE, TULSA, OK 74136-6302
(918) 496-9588

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
614
OK
101YP2500X
Professional Counselor
Primary
3782
OK

Other

Enumeration date
10/09/2008
Last updated
10/09/2008
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