Innovative Community Resource Specialist
Innovative Community Resource Specialist is a Professional Counselor in Oklahoma City, Oklahoma. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
3535 NW 58th St Ste 870EOklahoma City, OK 73112-4804
Phone: (405) 205-8346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X |
|---|
Record details
| NPI number | 1003121724 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leesa Lacey — President · (405) 702-9032 |
| NPI enumerated | August 18, 2010 |
| Last updated in NPPES | December 3, 2010 |
| Mailing address | 3535 Nw 58th St Ste 870e, Oklahoma City, OK 73112-4804 |
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