| Oklahoma Christian Counseling Center, Inc | |
|
13301 N Meridian Ave Ste 100 Oklahoma City OK 73120-8357 | |
| (405) 752-9500 | |
| (405) 752-9571 |
| Full Name | Oklahoma Christian Counseling Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13301 N Meridian Ave Ste 100, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Jeanette L Zamberlin (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4057529500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Christian Counseling Center, Inc 13301 N Meridian Ave Ste 100 Oklahoma City OK 73120-8357 Ph: (405) 752-9500 | Oklahoma Christian Counseling Center, Inc 13301 N Meridian Ave Ste 100 Oklahoma City OK 73120-8357 Ph: (405) 752-9500 |
| NPI Number | 1457449746 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7214900976 |
|---|---|
| Medicare Enrollment ID | O20040819000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457449746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mona W Mccullough |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710935010 PECOS PAC ID: 1355480732 Enrollment ID: I20091124000206 |
| Provider Name | Mark M Sneed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952359663 PECOS PAC ID: 3072638626 Enrollment ID: I20100920000418 |
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