Chrysalis Connection Pllc

NPI #1558789750 in Midwest City, Oklahoma

Provider Information

NPI Number: 1558789750
Entity Type: Organization
Organization Name: Chrysalis Connection Pllc
Primary Specialty: Counselor
Enumeration Date: Apr 3, 2014
Last Updated: Apr 3, 2014

Practice Location

Address: 1401 S DOUGLAS BLVD
Address 2: STE. A
City: Midwest City
State: Oklahoma
ZIP Code: 73130-5266
Phone: (405) 737-2065

Authorized Official

Name: NICHELLE D WILLIAMS
Title: LICENSED ALCOHOL AND DRUG COUNSELOR
Phone: (405) 397-5153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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