| A1 Excellent Counseling Services | |
|
5714 S Western Ave Oklahoma City OK 73109-4515 | |
| (405) 922-0045 | |
| Not Available |
| Full Name | A1 Excellent Counseling Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5714 S Western Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Theophilus Amangaeteogo Depona (PRESIDENT / DIRECTOR) |
| Authorized Official Contact | 4059220045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A1 Excellent Counseling Services 2705 Summer Set Trl Edmond OK 73012-6642 Ph: (405) 922-0045 | A1 Excellent Counseling Services 5714 S Western Ave Oklahoma City OK 73109-4515 Ph: (405) 922-0045 |
| NPI Number | 1225406895 |
|---|---|
| Provider Enumeration Date | 09/12/2015 |
| Last Update Date | 09/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225406895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 302848 (Oklahoma) | Primary |
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