| Association Of Catholic Counselors | |
|
1216 W Honolulu St Broken Arrow OK 74012-7733 | |
| (918) 406-6680 | |
| (918) 994-7940 |
| Full Name | Association Of Catholic Counselors |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1216 W Honolulu St, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Kevin George Stephenson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9184066682 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Association Of Catholic Counselors 1216 W Honolulu St Broken Arrow OK 74012-7733 Ph: (918) 406-6680 | Association Of Catholic Counselors 1216 W Honolulu St Broken Arrow OK 74012-7733 Ph: (918) 406-6680 |
| NPI Number | 1043972144 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 10/06/2021 |
| Certification Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043972144 | NPI | - | NPPES |
| 100708550 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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