| Mark Shreffler Lpc Llc | |
|
7004 Nw 63rd St Ste 102 Bethany OK 73008-1952 | |
| (405) 596-1893 | |
| (405) 883-6051 |
| Full Name | Mark Shreffler Lpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7004 Nw 63rd St Ste 102, Bethany, Oklahoma |
| Authorized Official Name and Position | Mark Shreffler (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4055961893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Shreffler Lpc Llc Po Box 476 Piedmont OK 73078-0476 Ph: (405) 596-1893 | Mark Shreffler Lpc Llc 7004 Nw 63rd St Ste 102 Bethany OK 73008-1952 Ph: (405) 596-1893 |
| NPI Number | 1972186948 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 10/27/2024 |
| Certification Date | 10/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972186948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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