| Blue Lotus Therapeutic Services, Pc | |
|
531 E A St Suite 101b Jenks OK 74037-4102 | |
| (918) 528-3505 | |
| Not Available |
| Full Name | Blue Lotus Therapeutic Services, Pc |
|---|---|
| Speciality | Counselor |
| Location | 531 E A St, Jenks, Oklahoma |
| Authorized Official Name and Position | Katherine Worthington (PRESIDENT) |
| Authorized Official Contact | 9185283505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Lotus Therapeutic Services, Pc 531 E A St Suite 101b Jenks OK 74037-4102 Ph: () - | Blue Lotus Therapeutic Services, Pc 531 E A St Suite 101b Jenks OK 74037-4102 Ph: (918) 528-3505 |
| NPI Number | 1871038794 |
|---|---|
| Provider Enumeration Date | 01/01/2017 |
| Last Update Date | 01/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871038794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 4546 (Oklahoma) | Primary |
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