Lifespan Counseling Professionals

NPI #1013092626 in Durant, Oklahoma

Provider Information

NPI Number
1013092626
Entity Type
Organization
Organization Name
Lifespan Counseling Professionals
Primary Specialty
Community/Behavioral Health
Enumeration Date
Oct 25, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
212 W EVERGREEN ST
City
Durant
ZIP Code
74701-4710
Phone
(580) 931-9901

Authorized Official

Name
MS. HAZEL MAE SOUTHERLAND, MBS, LPC
Title
EXECUTIVE DIRECTOR
Phone
(580) 931-9901

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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