| Coal Creek Counseling, Llc | |
|
204 D St Ne Miami OK 74354 | |
| (918) 325-1526 | |
| Not Available |
| Full Name | Coal Creek Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 204 D St Ne, Miami, Oklahoma |
| Authorized Official Name and Position | Jessica Rawlings (INDIVIDUAL AND FAMILY THERAPIST) |
| Authorized Official Contact | 9183251526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coal Creek Counseling, Llc Po Box 1633 Miami OK 74355-1633 Ph: (918) 325-1526 | Coal Creek Counseling, Llc 204 D St Ne Miami OK 74354 Ph: (918) 325-1526 |
| NPI Number | 1447786603 |
|---|---|
| Provider Enumeration Date | 05/10/2017 |
| Last Update Date | 05/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447786603 | NPI | - | NPPES |
| 200642610A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5598 (Oklahoma) | Primary |
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