| Isaiah Counseling Llc | |
|
305 E Ray Fine Blvd Ste 3 Roland OK 74954-5160 | |
| (479) 755-5801 | |
| Not Available |
| Full Name | Isaiah Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 305 E Ray Fine Blvd Ste 3, Roland, Oklahoma |
| Authorized Official Name and Position | Candace Rae Jeffries Nichols (OWNER/PROVIDER) |
| Authorized Official Contact | 4797555801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isaiah Counseling Llc Po Box 226 Roland OK 74954-0226 Ph: (479) 755-5801 | Isaiah Counseling Llc 305 E Ray Fine Blvd Ste 3 Roland OK 74954-5160 Ph: (479) 755-5801 |
| NPI Number | 1033582994 |
|---|---|
| Provider Enumeration Date | 11/01/2015 |
| Last Update Date | 04/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033582994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4595 (Oklahoma) | Primary |
Roland Family Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 East Ray Fine Blvd, Roland, OK 74954 Phone: 918-427-1311 Fax: 918-427-0013 |