Distinctive Adolescent and Adult Guidance Counseling Services

NPI #1740517366 in Moore, Oklahoma

Provider Information

NPI Number: 1740517366
Entity Type: Organization
Organization Name: Distinctive Adolescent and Adult Guidance Counseling Services
Primary Specialty: Community/Behavioral Health
Enumeration Date: Nov 4, 2009
Last Updated: Nov 4, 2009

Practice Location

Address: 2119 RIVERWALK DR # 218
City: Moore
State: Oklahoma
ZIP Code: 73160-2700
Phone: (405) 812-8623

Authorized Official

Name: DEBORAH A GRAY, LPC
Title: OWNER
Phone: (405) 812-8623

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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