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Mr. John Thomas Coulbourn, MA,LPC(UNDERSU)
Mental Health Counselor in Pocola, Oklahoma
NPI 1841458262

John Thomas Coulbourn is a Mental Health Counselor based in Pocola, OK and is specialized in Mental Health. John Thomas Coulbourn practices in Pocola, OK and has the professional credentials of MA,LPC(UNDERSU). The NPI Number for John Thomas Coulbourn is 1841458262 and holds a License No. (Oklahoma).

The current practice location address for John Thomas Coulbourn is 1405 Blair St, Pocola, OK and can be reached out via phone at 407-641-4695.

Location: 1405 Blair St, Pocola, OK, 74902-2860
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841458262
Provider Name
John Thomas Coulbourn
Credential
MA,LPC(UNDERSU)
Provider Entity Type
Individual
Gender
Male
Address
1405 Blair St, Pocola, OK, 74902-2860
Phone Number
407-641-4695
Fax Number
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1841458262 05 FL
institution
Provider Business Practice Location Address Details
Address
1405 Blair St
City
Pocola
State
Oklahoma
Zip
74902-2860
Phone Number
407-641-4695
Fax Number
person
Provider Business Mailing Address Details
Address
1405 Blair St
City
Pocola
State
Oklahoma
Zip
74902-2860
Phone Number
407-641-4695
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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