Blue Lotus Therapeutic Services, PC

NPI #1871038794 in Jenks, Oklahoma

Provider Information

NPI Number: 1871038794
Entity Type: Organization
Organization Name: Blue Lotus Therapeutic Services, PC
Primary Specialty: Counselor
Enumeration Date: Jan 1, 2017
Last Updated: Jan 1, 2017

Practice Location

Address: 531 E A ST
Address 2: SUITE 101B
City: Jenks
State: Oklahoma
ZIP Code: 74037-4102
Phone: (918) 528-3505

Authorized Official

Name: KATHERINE WORTHINGTON, LPC
Title: PRESIDENT
Phone: (918) 528-3505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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