| Evanescence Counseling Pllc | |
|
5909 Nw Expressway Suite 238 Oklahoma City OK 73132-5161 | |
| (405) 420-7877 | |
| Not Available |
| Full Name | Evanescence Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 5909 Nw Expressway, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Charity Beth Danker (OWNER/THERPIST) |
| Authorized Official Contact | 4054207877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evanescence Counseling Pllc 5909 Nw Expressway Suite 238 Oklahoma City OK 73132-5161 Ph: (405) 420-7877 | Evanescence Counseling Pllc 5909 Nw Expressway Suite 238 Oklahoma City OK 73132-5161 Ph: (405) 420-7877 |
| NPI Number | 1861738148 |
|---|---|
| Provider Enumeration Date | 12/14/2012 |
| Last Update Date | 12/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861738148 | NPI | - | NPPES |
| 200372680B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 4643 (Oklahoma) | Primary |
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