Organization
GREAT POTENTIAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON RACHELLE WATTIE LADC-MH (CEO)
(405) 226-2695
Entity
Organization
Contact information
Practice address
3035 NW 63RD ST STE 201, OKLAHOMA CITY, OK 73116-3606
(405) 226-2695
Mailing address
2621 NW 56TH ST, OKLAHOMA CITY, OK 73112-7142
(405) 226-2695
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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