Organization
A COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE RAY MS, MED, LPC, LADC (DIRECTOR)
(918) 658-4016
Entity
Organization
Contact information
Practice address
123 E AVENUE C STE B, HEAVENER, OK 74937-2603
(918) 658-4016
Mailing address
123 E AVENUE C STE B, HEAVENER, OK 74937-2603
(918) 658-4016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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