| Journey Therapeutic Services Pllc | |
|
517 N Main St Ada OK 74820-9501 | |
| (405) 264-3686 | |
| Not Available |
| Full Name | Journey Therapeutic Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 517 N Main St, Ada, Oklahoma |
| Authorized Official Name and Position | Jonny Ray Brandon (OWNER/CEO) |
| Authorized Official Contact | 4052643686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Therapeutic Services Pllc 304 Dollina Dr Norman OK 73069-7570 Ph: (405) 264-3686 | Journey Therapeutic Services Pllc 517 N Main St Ada OK 74820-9501 Ph: (405) 264-3686 |
| NPI Number | 1316385917 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 06/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316385917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4165 (Oklahoma) | Primary |
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