Organization
FULL CIRCLE YOUTH AND FAMILY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUQUETTA DONYELLE MCCLARTY LPC (LICENSED PROFESSIONAL COUNSELOR)
(405) 455-7244
Entity
Organization
Contact information
Practice address
1212 S AIR DEPOT BLVD, 19 B, MIDWEST CITY, OK 73110-4870
(405) 455-7244
(405) 455-7292
Mailing address
PO BOX 96963, OKLAHOMA CITY, OK 73143-6963
(405) 455-7244
(405) 455-7292
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4938
OK
Other
Enumeration date
02/06/2013
Last updated
12/26/2013
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