| Bison Family Therapy Institute, Pllc | |
|
1601 N Kickapoo Ave Ste 900 Shawnee OK 74804-4313 | |
| (405) 585-6413 | |
| (405) 395-0255 |
| Full Name | Bison Family Therapy Institute, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1601 N Kickapoo Ave Ste 900, Shawnee, Oklahoma |
| Authorized Official Name and Position | Canaan Crane (OWNER) |
| Authorized Official Contact | 4052260644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bison Family Therapy Institute, Pllc 2007 N Minnesota Ave Shawnee OK 74804-3024 Ph: (405) 226-0644 | Bison Family Therapy Institute, Pllc 1601 N Kickapoo Ave Ste 900 Shawnee OK 74804-4313 Ph: (405) 585-6413 |
| NPI Number | 1023453602 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023453602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 783 (Oklahoma) | Primary |
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