| Altus Family Counseling, Llc | |
|
1116 N Main St Ste M12 Altus OK 73521-3149 | |
| (580) 379-0677 | |
| (580) 482-0008 |
| Full Name | Altus Family Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1116 N Main St Ste M12, Altus, Oklahoma |
| Authorized Official Name and Position | Tracy Jean Lorah (CEO/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5803790677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Altus Family Counseling, Llc 1116 N Main St Ste M12 Altus OK 73521-3149 Ph: (580) 379-0677 | Altus Family Counseling, Llc 1116 N Main St Ste M12 Altus OK 73521-3149 Ph: (580) 379-0677 |
| NPI Number | 1285103796 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 05/18/2021 |
| Certification Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285103796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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