Organization Name: | CORE COUNSELING, LLC |
NPI Number: | 1215306980 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIRSTEN ELAINE VAUGHN-CASTOR (OWNER) |
Mailing Address: | 5350 S. Western Suite 213 Okc |
State: | OK US |
Postal Code: | 731094520 |
Phone Number: | 4059234382 |
Fax Number: | |
NPI Enumeration Date: | 09/23/2015 |
NPI Last Update Date: | 09/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3451 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |