| Community Network Counseling Services, Llc | |
|
11601 E Wilshire Blvd Spencer OK 73084-6718 | |
| (702) 591-3055 | |
| Not Available |
| Full Name | Community Network Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11601 E Wilshire Blvd, Spencer, Oklahoma |
| Authorized Official Name and Position | Tami Bass (ADMINISTRATOR) |
| Authorized Official Contact | 7025913055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Network Counseling Services, Llc 11601 E Wilshire Blvd Spencer OK 73084-6718 Ph: (702) 591-3055 | Community Network Counseling Services, Llc 11601 E Wilshire Blvd Spencer OK 73084-6718 Ph: (702) 591-3055 |
| NPI Number | 1124745096 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/21/2022 |
| Certification Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124745096 | NPI | - | NPPES |
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