Dynamic Psychological & Mediation Services | |
104 S 7th St Clinton OK 73601 | |
(580) 402-1696 | |
Not Available |
Full Name | Dynamic Psychological & Mediation Services |
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Speciality | Counselor - Mental Health |
Location | 104 S 7th St, Clinton, Oklahoma |
Authorized Official Name and Position | James Gichuki (DIRECTOR/OWNER) |
Authorized Official Contact | 5804021696 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dynamic Psychological & Mediation Services 311 Granite Wash Clinton OK 73601-3649 Ph: (580) 402-1696 | Dynamic Psychological & Mediation Services 104 S 7th St Clinton OK 73601 Ph: (580) 402-1696 |
NPI Number | 1477045995 |
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Provider Enumeration Date | 05/31/2018 |
Last Update Date | 05/31/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477045995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 6010 (Oklahoma) | Primary |
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