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Organization

ROUSH COUNSELING AND CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBRA L ROUSH MED, LPC (OWNER)
(405) 306-1163
Entity
Organization

Contact information

Practice address
123 E TONHAWA ST, SUITE 100, NORMAN, OK 73069-7209
(405) 306-1163
(405) 794-7506
Mailing address
123 E TONHAWA ST, SUITE 100, NORMAN, OK 73069-7209
(405) 306-1163
(405) 794-7506

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4179
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200343690A
OK
Enumeration date
01/31/2013
Last updated
01/31/2013
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