Organization
DYNAMIC THERAPEUTIC & MENTAL BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AGNES U UBOZO (OWNER)
(405) 202-6242
Entity
Organization
Contact information
Practice address
500 N MERIDIAN AVE STE 102, OKLAHOMA CITY, OK 73107-5706
(405) 202-6242
Mailing address
500 N MERIDIAN AVE STE 102, OKLAHOMA CITY, OK 73107-5706
(405) 202-6242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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