Broken Arrow Counseling Services LLC
NPI #1033521851 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1033521851
- Entity Type
- Organization
- Organization Name
- Broken Arrow Counseling Services LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 28, 2014
- Last Updated
- May 28, 2014
Practice Location
- Address
- 1175 S ASPEN AVE
- Address 2
- SUITE J
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-4800
- Phone
- (918) 850-2747
Authorized Official
- Name
- MRS. CRISTINE BRENDA BOLLEY, LPC
- Title
- OWNER
- Phone
- (918) 850-2747
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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