Organization
CLIBURN COUNSELING AND SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. B. GALE CLIBURN LICENSED PROFESSIONA (OWNER-LICENSED PROFESSIONAL THERAPT)
(405) 306-1883
Entity
Organization
Contact information
Practice address
13810 CROSSING WAY E, EDMOND, OK 73013-4720
(405) 306-1883
(405) 475-1721
Mailing address
PO BOX 5613, EDMOND, OK 73083-5613
(405) 306-1883
(405) 475-1721
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2473
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2473
STATE OF OKLAHOMA, DEPT OF HEALTH, LICENSURE DIVISION FOR LICENSED PROFESSIONA
OK
Enumeration date
10/16/2008
Last updated
10/16/2008
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