| Dawn Lea Long Counseling Llc | |
|
5350 S Western Ave Ste 211 Oklahoma City OK 73109-4525 | |
| (405) 863-2602 | |
| Not Available |
| Full Name | Dawn Lea Long Counseling Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5350 S Western Ave Ste 211, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Dawn Lea Long (OWNER/OPERATOR/ COUNSELOR) |
| Authorized Official Contact | 4058632602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Lea Long Counseling Llc 5350 S Western Ave Ste 211 Oklahoma City OK 73109-4525 Ph: (405) 863-2602 | Dawn Lea Long Counseling Llc 5350 S Western Ave Ste 211 Oklahoma City OK 73109-4525 Ph: (405) 863-2602 |
| NPI Number | 1720564933 |
|---|---|
| Provider Enumeration Date | 07/11/2018 |
| Last Update Date | 07/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720564933 | NPI | - | NPPES |
| 200386090B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1213 (Oklahoma) | Primary |
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