| Advance Counseling, Pc | |
|
1732 Redland Dr Edmond OK 73003-2453 | |
| (405) 844-8085 | |
| (405) 285-1652 |
| Full Name | Advance Counseling, Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1732 Redland Dr, Edmond, Oklahoma |
| Authorized Official Name and Position | Dwight Edwin Gaston (PRESIDENT) |
| Authorized Official Contact | 4058448085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Counseling, Pc 1732 S Kelly Ave Edmond OK 73013-3630 Ph: (405) 844-8085 | Advance Counseling, Pc 1732 Redland Dr Edmond OK 73003-2453 Ph: (405) 844-8085 |
| NPI Number | 1508119850 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 10/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508119850 | NPI | - | NPPES |
| 200020709G | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3578 (Oklahoma) | Primary |
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