| Branch Wellness Llc | |
|
1900 Lexington Ave Clinton OK 73601-5320 | |
| (405) 401-4693 | |
| Not Available |
| Full Name | Branch Wellness Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1900 Lexington Ave, Clinton, Oklahoma |
| Authorized Official Name and Position | Haley Jordan Nunn (THERAPIST) |
| Authorized Official Contact | 4054014693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branch Wellness Llc Po Box 132 Clinton OK 73601-0132 Ph: (405) 401-4693 | Branch Wellness Llc 1900 Lexington Ave Clinton OK 73601-5320 Ph: (405) 401-4693 |
| NPI Number | 1184445173 |
|---|---|
| Provider Enumeration Date | 10/22/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184445173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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