| Gloria J. Mccreary | |
|
412 N Telephone Rd Moore OK 73160-4920 | |
| (405) 794-5552 | |
| (405) 759-2402 |
| Full Name | Gloria J. Mccreary |
|---|---|
| Speciality | Counselor |
| Location | 412 N Telephone Rd, Moore, Oklahoma |
| Authorized Official Name and Position | Gloria J Mccreary (OWNER) |
| Authorized Official Contact | 4057945552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria J. Mccreary 412 N Telephone Rd Moore OK 73160-4920 Ph: (405) 794-5552 | Gloria J. Mccreary 412 N Telephone Rd Moore OK 73160-4920 Ph: (405) 794-5552 |
| NPI Number | 1871622217 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7810035235 |
|---|---|
| Medicare Enrollment ID | O20240321001664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871622217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Gloria Jean Mccreary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497797336 PECOS PAC ID: 1153469572 Enrollment ID: I20240321001772 |
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