| E-school Virtual Charter Academy | |
|
2403 S Division St Ste B Guthrie OK 73044-6031 | |
| (833) 203-4300 | |
| Not Available |
| Full Name | E-school Virtual Charter Academy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2403 S Division St Ste B, Guthrie, Oklahoma |
| Authorized Official Name and Position | Tammy Shepard (DIRECTOR OF FEDERAL PROGRAMS) |
| Authorized Official Contact | 8332034300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E-school Virtual Charter Academy 2403 S Division St Ste B Guthrie OK 73044-6031 Ph: () - | E-school Virtual Charter Academy 2403 S Division St Ste B Guthrie OK 73044-6031 Ph: (833) 203-4300 |
| NPI Number | 1750167052 |
|---|---|
| Provider Enumeration Date | 09/04/2023 |
| Last Update Date | 09/04/2023 |
| Certification Date | 09/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750167052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
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