| Patrick's Sycamoore Counseling Llc | |
|
3908 N Peniel Ave Ste 500 Bethany OK 73008-3402 | |
| (405) 603-3265 | |
| Not Available |
| Full Name | Patrick's Sycamoore Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3908 N Peniel Ave Ste 500, Bethany, Oklahoma |
| Authorized Official Name and Position | Patrick James Moore (OWNER) |
| Authorized Official Contact | 4058160343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick's Sycamoore Counseling Llc 3508 Grizzly Ridge Ct Yukon OK 73099-3576 Ph: (405) 816-0343 | Patrick's Sycamoore Counseling Llc 3908 N Peniel Ave Ste 500 Bethany OK 73008-3402 Ph: (405) 603-3265 |
| NPI Number | 1003634080 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003634080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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