| Roush Counseling And Consulting, Llc | |
|
123 E Tonhawa St Suite 100 Norman OK 73069-7209 | |
| (405) 306-1163 | |
| (405) 794-7506 |
| Full Name | Roush Counseling And Consulting, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 123 E Tonhawa St, Norman, Oklahoma |
| Authorized Official Name and Position | Kimbra L Roush (OWNER) |
| Authorized Official Contact | 4053061163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roush Counseling And Consulting, Llc 123 E Tonhawa St Suite 100 Norman OK 73069-7209 Ph: (405) 306-1163 | Roush Counseling And Consulting, Llc 123 E Tonhawa St Suite 100 Norman OK 73069-7209 Ph: (405) 306-1163 |
| NPI Number | 1871832519 |
|---|---|
| Provider Enumeration Date | 01/31/2013 |
| Last Update Date | 01/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871832519 | NPI | - | NPPES |
| 200343690A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4179 (Oklahoma) | Primary |
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