| Northstar Counseling Associates, Llc | |
|
4540 E Reno Ave Del City OK 73117 | |
| (405) 623-1454 | |
| Not Available |
| Full Name | Northstar Counseling Associates, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4540 E Reno Ave, Del City, Oklahoma |
| Authorized Official Name and Position | Verner Dalmond Godwin (CO-OWNER) |
| Authorized Official Contact | 4056230154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Counseling Associates, Llc 204 Burk Way Del City OK 73115-2012 Ph: (405) 623-1454 | Northstar Counseling Associates, Llc 4540 E Reno Ave Del City OK 73117 Ph: (405) 623-1454 |
| NPI Number | 1114401387 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 09/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114401387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6765 (Oklahoma) | Primary |
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