Casey Raymond, | |
401 E Broadway Ct Ste E, Sand Springs, OK 74063-7931 | |
(918) 245-5565 | |
Not Available |
Full Name | Casey Raymond |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 401 E Broadway Ct Ste E, Sand Springs, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093386112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Grand Lake Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
Mailing Address | Practice Location Address |
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Casey Raymond, 401 E Broadway Ct Ste E, Sand Springs, OK 74063-7931 Ph: (918) 245-5565 | Casey Raymond, 401 E Broadway Ct Ste E, Sand Springs, OK 74063-7931 Ph: (918) 245-5565 |
Allison Brooke Wignall, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1691 Old North Rd, Sand Springs, OK 74063 Phone: 918-730-1525 | |
Mr. Gerald Wayne Atchley, MHR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20866 W. 71 St, Sand Springs, OK 74063 Phone: 918-637-4389 | |
Michael Douglas Densman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2727 S 137th West Ave, Sand Springs, OK 74063 Phone: 918-245-0231 | |
Marguerite Allen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 208 N Main St, Sand Springs, OK 74063 Phone: 918-514-4029 | |
Mr. Scott Alan Ferguson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 W 32nd Ct, Sand Springs, OK 74063 Phone: 918-241-4233 | |
Ashlie Simpson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2727 S 137th West Ave, Sand Springs, OK 74063 Phone: 918-245-0231 |