Dedicated Outpatient Therapy Services, LLC

NPI #1215293220 in Wellston, Oklahoma

Provider Information

NPI Number
1215293220
Entity Type
Organization
Organization Name
Dedicated Outpatient Therapy Services, LLC
Primary Specialty
Counselor - Professional
Enumeration Date
Apr 3, 2012
Last Updated
Apr 3, 2012

Practice Location

Address
920770 DEER RIDGE LN
ZIP Code
74881-8146
Phone
(405) 650-7278

Authorized Official

Name
JILL M BASHORUN, LPC
Title
OWNER
Phone
(405) 650-7278

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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