Abagail Detar, | |
1222 10th St Ste 211, Woodward, OK 73801-3156 | |
(580) 256-8615 | |
Not Available |
Full Name | Abagail Detar |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1222 10th St Ste 211, Woodward, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427887884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | State Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588755532 PECOS PAC ID: 4486558962 Enrollment ID: O20031125000846 |
Mailing Address | Practice Location Address |
---|---|
Abagail Detar, 1222 10th St Ste 211, Woodward, OK 73801-3156 Ph: (580) 256-8615 | Abagail Detar, 1222 10th St Ste 211, Woodward, OK 73801-3156 Ph: (580) 256-8615 |
Tiffany Michelle West, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202639 E County Road 42, Woodward, OK 73801 Phone: 580-254-5335 | |
Jennifer Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202639 E County Road 42, Woodward, OK 73801 Phone: 580-254-5335 | |
Alison Kincannon, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1116 19th St, Woodward, OK 73801 Phone: 580-922-5656 Fax: 580-922-3261 | |
Mary Degand, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5050 Williams Ave, Woodward, OK 73801 Phone: 580-256-9700 Fax: 580-256-9704 | |
Ms. Sofia Denisse Higareda Castillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202639 E County Road 42, Woodward, OK 73801 Phone: 580-377-3631 Fax: 580-254-5335 | |
Mr. Mario A Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1222 10th St, Suite 211, Woodward, OK 73801 Phone: 580-256-8615 | |
Mrs. Brooke Marie Taylor, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1213 W Hanks Trl, Woodward, OK 73801 Phone: 580-922-3129 |