Professional Counseling Associates of McCurtain County, Inc.
Organization Active NPI Mental Health Counselor · Broken Bow, OK
NPI 1629334388 · NPPES record last updated Apr 6, 2012
Key facts
- NPI
- 1629334388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 3881 (OK)
- Legal business name
- PROFESSIONAL COUNSELING ASSOCIATES OF MCCURTAIN COUNTY, INC.
- Practice address
- 205 Main St
Broken Bow, OK 74728-3975 - Phone
- (580) 584-2478
- NPI assigned
- Apr 6, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Glynis Watkins Daniel, LPC
- Title
- Owner
- Phone
- (580) 584-2478
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 3881 | OK | Yes |
Addresses
Primary practice location
205 Main St
Broken Bow, OK 74728-3975
Mailing address
RR 2 Box 6090
Broken Bow, OK 74728-9808
Phone (580) 236-2376
Other names
- Full Life Family Resource Center
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All providers in Broken Bow, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.