Organization
MARIPOSA COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY BENDER LPC (PRESIDENT)
(405) 326-8945
Entity
Organization
Contact information
Practice address
1922 N EASTERN AVE, MOORE, OK 73160-5605
(405) 326-8935
(405) 735-5265
Mailing address
1922 N EASTERN AVE, MOORE, OK 73160-5605
(405) 326-8935
(405) 735-5265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3204
OK
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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