Christina A Brogdon, | |
1705 Cradduck Rd, Ada, OK 74820-9491 | |
(580) 310-9000 | |
Not Available |
Full Name | Christina A Brogdon |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1705 Cradduck Rd, Ada, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134488000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Choctaw Nation Of Oklahoma |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
---|---|
Christina A Brogdon, 430 Webb Ave, Ada, OK 74820-4636 Ph: (580) 272-4865 | Christina A Brogdon, 1705 Cradduck Rd, Ada, OK 74820-9491 Ph: (580) 310-9000 |
Sharell Clydean Caton, LPC, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10725 County Road 3590, Ada, OK 74820 Phone: 580-665-0211 | |
Jana Jean Webb, LPC Counselor Medicare: Medicare Enrolled Practice Location: 16050 County Road 1565, Ada, OK 74820 Phone: 405-476-1287 Fax: 580-436-9146 | |
Ms. Paula Turner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 730 E 15th Street, Ada, OK 74820 Phone: 580-272-5170 | |
Lonnie Roy Manuel, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 Hoppe Blvd, Suite 6, Strong Family Development, Outpatient Services-ada, Ada, OK 74820 Phone: 580-436-1222 Fax: 580-436-1333 | |
Ms. Sydney Caitlin Manning, Counselor Medicare: Not Enrolled in Medicare Practice Location: 329 W 1st St, Ada, OK 74820 Phone: 580-320-5902 | |
Brittany Austin Akerman, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 W 18th St, Ada, OK 74820 Phone: 580-436-6130 | |
Jessica Lea Shores, M.S.W Counselor Medicare: Medicare Enrolled Practice Location: 111 E 12th St, Ada, OK 74820 Phone: 580-436-2690 |