| Laura Peitz Counseling Services, Llc | |
|
1912 Lake Rd Ponca City OK 74604-4800 | |
| (580) 762-6511 | |
| (580) 762-6511 |
| Full Name | Laura Peitz Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1912 Lake Rd, Ponca City, Oklahoma |
| Authorized Official Name and Position | Laura Anne Peitz (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5807632802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Peitz Counseling Services, Llc 1912 Lake Rd Ponca City OK 74604-4800 Ph: (580) 762-6511 | Laura Peitz Counseling Services, Llc 1912 Lake Rd Ponca City OK 74604-4800 Ph: (580) 762-6511 |
| NPI Number | 1124374558 |
|---|---|
| Provider Enumeration Date | 08/03/2012 |
| Last Update Date | 08/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124374558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3813 (Oklahoma) | Primary |
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