| Collaborative Counseling Llc | |
|
1320 E 9th St Ste 8 Edmond OK 73034-5773 | |
| (405) 471-4792 | |
| Not Available |
| Full Name | Collaborative Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1320 E 9th St Ste 8, Edmond, Oklahoma |
| Authorized Official Name and Position | Janice Allison Canton (SOLE MEMBER) |
| Authorized Official Contact | 4054714792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Counseling Llc 1320 E 9th St Ste 8 Edmond OK 73034-5773 Ph: (405) 471-4792 | Collaborative Counseling Llc 1320 E 9th St Ste 8 Edmond OK 73034-5773 Ph: (405) 471-4792 |
| NPI Number | 1023834017 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Medicare PECOS PAC ID | 5294261327 |
|---|---|
| Medicare Enrollment ID | O20241212000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023834017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Janice Allison Canton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255706735 PECOS PAC ID: 9931542693 Enrollment ID: I20240209000566 |
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