| Broken Arrow Counseling Services Llc | |
|
1175 S Aspen Ave Suite J Broken Arrow OK 74012-4800 | |
| (918) 850-2747 | |
| Not Available |
| Full Name | Broken Arrow Counseling Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1175 S Aspen Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Cristine Brenda Bolley (OWNER) |
| Authorized Official Contact | 9188502747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broken Arrow Counseling Services Llc 712 N Sweet Gum Ave Broken Arrow OK 74012-2156 Ph: (918) 850-2747 | Broken Arrow Counseling Services Llc 1175 S Aspen Ave Suite J Broken Arrow OK 74012-4800 Ph: (918) 850-2747 |
| NPI Number | 1033521851 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 05/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033521851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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