Countryside Counseling, Pllc

NPI #1780235010 in Shawnee, Oklahoma

Provider Information

NPI Number: 1780235010
Entity Type: Organization
Organization Name: Countryside Counseling, Pllc
Primary Specialty: Counselor - Professional
Enumeration Date: Sep 27, 2019
Last Updated: Sep 27, 2019

Practice Location

Address: 44038 45TH ST
City: Shawnee
State: Oklahoma
ZIP Code: 74804-9683
Phone: (405) 481-6683

Authorized Official

Name: AMY M BOWEN, LPC
Title: OWNER
Phone: (405) 694-1462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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