| S.o.s. Counseling Group Of Oklahoma | |
|
1930 Nw Ferris Ave Suite 2 Lawton OK 73507-5626 | |
| (580) 678-3424 | |
| Not Available |
| Full Name | S.o.s. Counseling Group Of Oklahoma |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1930 Nw Ferris Ave, Lawton, Oklahoma |
| Authorized Official Name and Position | Kathleen Matlock-parson (OWNER/CEO) |
| Authorized Official Contact | 5806783424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S.o.s. Counseling Group Of Oklahoma 1930 Nw Ferris Ave Suite 2 Lawton OK 73507-5626 Ph: (580) 678-3424 | S.o.s. Counseling Group Of Oklahoma 1930 Nw Ferris Ave Suite 2 Lawton OK 73507-5626 Ph: (580) 678-3424 |
| NPI Number | 1356710180 |
|---|---|
| Provider Enumeration Date | 09/22/2015 |
| Last Update Date | 09/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356710180 | NPI | - | NPPES |
| 200432390B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5646 (Oklahoma) | Primary |
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