Mr James Cory Garner, | |
907 W Caddo St, Cleveland, OK 74020-4201 | |
(918) 308-5511 | |
(918) 205-2701 |
Full Name | Mr James Cory Garner |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 907 W Caddo St, Cleveland, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124663224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (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 |
---|---|
Mr James Cory Garner, 907 W Caddo St, Cleveland, OK 74020-4201 Ph: (918) 308-5511 | Mr James Cory Garner, 907 W Caddo St, Cleveland, OK 74020-4201 Ph: (918) 308-5511 |
Lauren Paige Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 907 W Caddo St, Cleveland, OK 74020 Phone: 918-273-1841 | |
Annette Shaeffer, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 W Caddo St, Cleveland, OK 74020 Phone: 918-261-1129 | |
Mrs. Michelle Bernadette Smith, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 907 W Caddo St, Cleveland, OK 74020 Phone: 918-308-5511 | |
Krista Trundle, BHCMII Counselor Medicare: Not Enrolled in Medicare Practice Location: 907 W Caddo St, Cleveland, OK 74020 Phone: 918-308-5511 | |
Ms. Kelsee Lane Mccutchen, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 907 W Caddo St, Cleveland, OK 74020 Phone: 918-308-5511 Fax: 918-205-2701 | |
Liza Michelle Arroyo, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 907 W Caddo St, Cleveland, OK 74020 Phone: 918-308-5511 |