| Mayes County Counseling And Resources Pllc | |
|
119 West Main Chouteau OK 74337-0961 | |
| (918) 476-4008 | |
| (918) 476-0582 |
| Full Name | Mayes County Counseling And Resources Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 119 West Main, Chouteau, Oklahoma |
| Authorized Official Name and Position | Johnny Daryel Cunningham (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9186973823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayes County Counseling And Resources Pllc Po Box 961 Chouteau OK 74337-0961 Ph: (918) 697-3823 | Mayes County Counseling And Resources Pllc 119 West Main Chouteau OK 74337-0961 Ph: (918) 476-4008 |
| NPI Number | 1609457365 |
|---|---|
| Provider Enumeration Date | 04/15/2021 |
| Last Update Date | 04/15/2021 |
| Certification Date | 03/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609457365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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