Organization · Type 2 NPI
Countryside Counseling, PLLC
Professional Counselor · Shawnee, OK
NPI number
1780235010
Active
Practice location
44038 45th St
Shawnee, OK 74804-9683
Mailing address
32221 Redskin Rd
Mcloud, OK 74851-8174
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
4 other providers at this address
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About NPI 1780235010
Countryside Counseling, PLLC's National Provider Identifier is 1780235010, issued on Sep 27, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shawnee, OK. The record was last updated on Sep 27, 2019.