Organization · Type 2 NPI
Innovative Community Resource Specialist
Professional Counselor · Oklahoma City, OK
NPI number
1003121724
Active
Practice location
3535 NW 58th St Ste 870E
Oklahoma City, OK 73112-4804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1003121724
Innovative Community Resource Specialist's National Provider Identifier is 1003121724, issued on Aug 18, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 3, 2010.