NPI 1003005943

Developmental Assessment & Intervention Center

Organisation Mental Health Counselor Ardmore, OK

Practice location

Address: 301 West Main Suite 324, Ardmore, OK 73401-6322
Phone: (580) 226-9222
Fax: (580) 226-9226

Authorised official

Name: Brenda K Ulrich
Title: President
Phone: (580) 226-9222

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 1730 (OK)

Other Counselor providers in Oklahoma →

Registry record

NPI: 1003005943
Entity type: Organization
NPI issued: 16 Oct 2007
Record last updated: 16 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.