| Counseling Dynamics And Recovery Services Llc | |
|
5350 E 46th St Tulsa OK 74135-6612 | |
| (918) 408-4366 | |
| Not Available |
| Full Name | Counseling Dynamics And Recovery Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5350 E 46th St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Stanley M Ndungu (THERAPIST) |
| Authorized Official Contact | 9184084366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Dynamics And Recovery Services Llc 5319 E 95th St Tulsa OK 74137-4423 Ph: (918) 408-4366 | Counseling Dynamics And Recovery Services Llc 5350 E 46th St Tulsa OK 74135-6612 Ph: (918) 408-4366 |
| NPI Number | 1215426465 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215426465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6137 (Oklahoma) | Primary |
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