Christian Clinic For Counseling, Inc | |
3832 N Meridian Ave Oklahoma City OK 73112-2820 | |
(405) 928-8888 | |
(999) 999-9999 |
Full Name | Christian Clinic For Counseling, Inc |
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Speciality | Psychologist |
Location | 3832 N Meridian Ave, Oklahoma City, Oklahoma |
Authorized Official Name and Position | J Ronald Cruse (OWNER) |
Authorized Official Contact | 4059428888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Christian Clinic For Counseling, Inc 2311 Kiley Way Edmond OK 73034-3428 Ph: (405) 942-8888 | Christian Clinic For Counseling, Inc 3832 N Meridian Ave Oklahoma City OK 73112-2820 Ph: (405) 928-8888 |
NPI Number | 1629127840 |
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Provider Enumeration Date | 01/09/2007 |
Last Update Date | 07/08/2014 |
Medicare PECOS PAC ID | 3173662194 |
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Medicare Enrollment ID | O20091204000480 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629127840 | NPI | - | NPPES |
203851000 | Other | OK | MAGELLAN HEALTH SERVICES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 156 (Oklahoma) | Primary |
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