| Crossroads Counseling Of Southeast Oklahoma, Pllc | |
|
620 E Court St Atoka OK 74525-3016 | |
| (580) 364-0170 | |
| (580) 364-0170 |
| Full Name | Crossroads Counseling Of Southeast Oklahoma, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 620 E Court St, Atoka, Oklahoma |
| Authorized Official Name and Position | Carrie J Tisdale (CEO) |
| Authorized Official Contact | 9184978859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Counseling Of Southeast Oklahoma, Pllc 620 E Court St Atoka OK 74525-3016 Ph: (580) 364-0170 | Crossroads Counseling Of Southeast Oklahoma, Pllc 620 E Court St Atoka OK 74525-3016 Ph: (580) 364-0170 |
| NPI Number | 1699020974 |
|---|---|
| Provider Enumeration Date | 07/23/2012 |
| Last Update Date | 07/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699020974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3710 (Oklahoma) | Primary |
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