| Multi-county Counseling, Inc. | |
|
112 W Main St Purcell OK 73080-4220 | |
| (405) 527-1785 | |
| (405) 527-1084 |
| Full Name | Multi-county Counseling, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 112 W Main St, Purcell, Oklahoma |
| Authorized Official Name and Position | Gregg Johnson (CEO) |
| Authorized Official Contact | 4055271785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multi-county Counseling, Inc. Po Box 662 Purcell OK 73080-0662 Ph: (405) 527-1785 | Multi-county Counseling, Inc. 112 W Main St Purcell OK 73080-4220 Ph: (405) 527-1785 |
| NPI Number | 1003855925 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 05/15/2024 |
| Certification Date | 05/15/2024 |
| Medicare PECOS PAC ID | 7113469420 |
|---|---|
| Medicare Enrollment ID | O20240603000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003855925 | NPI | - | NPPES |
| 100746700A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1728 (Oklahoma) | Primary |
| Provider Name | Jayna Mcwethy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952421562 PECOS PAC ID: 0749722056 Enrollment ID: I20240603000086 |
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