Full Circle Youth and Family Services, Pllc
NPI #1962741207 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1962741207
- Entity Type
- Organization
- Organization Name
- Full Circle Youth and Family Services, Pllc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Feb 6, 2013
- Last Updated
- Dec 26, 2013
Practice Location
- Address
- 1212 S AIR DEPOT BLVD
- Address 2
- 19 B
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-4870
- Phone
- (405) 455-7244
Authorized Official
- Name
- MRS. LUQUETTA DONYELLE MCCLARTY, LPC
- Title
- LICENSED PROFESSIONAL COUNSELOR
- Phone
- (405) 455-7244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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