| Interaction Counseling | |
|
4411 W Gore Blvd Ste B10 Lawton OK 73505-5977 | |
| (580) 353-0909 | |
| Not Available |
| Full Name | Interaction Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4411 W Gore Blvd Ste B10, Lawton, Oklahoma |
| Authorized Official Name and Position | Jim Johnson (SOCIAL WORKER) |
| Authorized Official Contact | 5803530909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interaction Counseling 4411 W Gore Blvd Ste B10 Lawton OK 73505-5977 Ph: (580) 353-0909 | Interaction Counseling 4411 W Gore Blvd Ste B10 Lawton OK 73505-5977 Ph: (580) 353-0909 |
| NPI Number | 1841475977 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841475977 | NPI | - | NPPES |
| 500522083 | Other | OK | MEDICARE GROUP IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 36 (Oklahoma) | Primary |
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