| Two Swans Counseling Service, P.l.l.c. | |
|
711 Sw D Ave Ste 203 Lawton OK 73501-4561 | |
| (580) 699-2011 | |
| (580) 699-2012 |
| Full Name | Two Swans Counseling Service, P.l.l.c. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 711 Sw D Ave Ste 203, Lawton, Oklahoma |
| Authorized Official Name and Position | Jamie Lynn Swanson (OWNER/THERAPIST) |
| Authorized Official Contact | 5806992011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Swans Counseling Service, P.l.l.c. 711 Sw D Ave Suite 203 Lawton OK 73501-4561 Ph: (580) 699-2011 | Two Swans Counseling Service, P.l.l.c. 711 Sw D Ave Ste 203 Lawton OK 73501-4561 Ph: (580) 699-2011 |
| NPI Number | 1942659743 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 06/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942659743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2468 (Oklahoma) | Primary |
| 106H00000X | Marriage & Family Therapist | 914 (Louisiana) | Secondary |
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Jennifer Baker, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6425 Nw Cache Rd Ste 215, Lawton, OK 73505 Phone: 580-583-2133 | |
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