| Basquine Counseling Llc | |
|
2500 Mcgee Dr Ste 126 Norman OK 73072-6705 | |
| (405) 706-9269 | |
| Not Available |
| Full Name | Basquine Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2500 Mcgee Dr Ste 126, Norman, Oklahoma |
| Authorized Official Name and Position | Anthony Jaden Basquine (OWNER/OPERATOR) |
| Authorized Official Contact | 4057069269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Basquine Counseling Llc 2500 Mcgee Dr Ste 126 Norman OK 73072-6705 Ph: (405) 706-9269 | Basquine Counseling Llc 2500 Mcgee Dr Ste 126 Norman OK 73072-6705 Ph: (405) 706-9269 |
| NPI Number | 1144877499 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 08/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144877499 | NPI | - | NPPES |
| 200567470A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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