Adam O'daniel, MS, LPC | |
619 N Main St, Muskogee, OK 74401-4431 | |
(918) 682-8407 | |
Not Available |
Full Name | Adam O'daniel |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 619 N Main St, Muskogee, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568593085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 4123 (Oklahoma) | Primary |
Entity Name | Cherokee Nation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Mailing Address | Practice Location Address |
---|---|
Adam O'daniel, MS, LPC Po Box 1069, Tahlequah, OK 74465-1069 Ph: (539) 234-3578 | Adam O'daniel, MS, LPC 619 N Main St, Muskogee, OK 74401-4431 Ph: (918) 682-8407 |
Mrs. Jennifer Carol Hankins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N Main St, Muskogee, OK 74401 Phone: 918-682-8407 | |
Leigh Ellen Lackey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N Main St, Muskogee, OK 74401 Phone: 918-682-8407 | |
Georgia Kathleen Wiren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N Main St, Muskogee, OK 74401 Phone: 918-682-8407 | |
Brandi Timmerman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 W Okmulgee St, Muskogee, OK 74401 Phone: 918-681-4944 | |
Zach Gibson, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N Main St, Muskogee, OK 74401 Phone: 918-682-8407 Fax: 918-687-0976 | |
Mr. Edward G Bradley Jr., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 N 3rd St, Suite 104, Muskogee, OK 74401 Phone: 918-682-7797 Fax: 918-686-8881 | |
Patricia Denise Rupe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 619 N Main St, Muskogee, OK 74401 Phone: 918-913-3655 Fax: 918-687-0976 |