| Court Assistance Programs Inc. | |
|
600 N Dewey Avenue Suite 100 Oklahoma City OK 73102 | |
| (405) 290-7322 | |
| (405) 290-7325 |
| Full Name | Court Assistance Programs Inc. |
|---|---|
| Speciality | Counselor |
| Location | 600 N Dewey Avenue Suite 100, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Mary Jean Wickstrom (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4052907322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Court Assistance Programs Inc. 600 N Dewey Avenue Suite 100 Oklahoma City OK 73102 Ph: () - | Court Assistance Programs Inc. 600 N Dewey Avenue Suite 100 Oklahoma City OK 73102 Ph: (405) 290-7322 |
| NPI Number | 1548895931 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 03/06/2020 |
| Certification Date | 03/06/2020 |
| Medicare PECOS PAC ID | 1456792530 |
|---|---|
| Medicare Enrollment ID | O20240508000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548895931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Amanda Sauviller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316597040 PECOS PAC ID: 5991146979 Enrollment ID: I20240508000635 |
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