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Organization

CORDELL COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHILOH MARTIN MED LPC NCC (OWNER)
(580) 832-0856
Entity
Organization

Contact information

Practice address
210 E 1ST ST, CORDELL, OK 73632-4820
(580) 832-0856
Mailing address
210 E 1ST ST, CORDELL, OK 73632-4820
(580) 832-0856

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/23/2010
Last updated
06/23/2010
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