| Valeria E Milstead-benabdallah Lcsw Pc | |
|
1330 N Classen Blvd 307 Oklahoma City OK 73106-6835 | |
| (405) 604-0180 | |
| (405) 228-0181 |
| Full Name | Valeria E Milstead-benabdallah Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 1330 N Classen Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Valeria Elizabeth Milstead-benabdallah (CEO, PSYCHOTHERAPIST) |
| Authorized Official Contact | 4056040180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valeria E Milstead-benabdallah Lcsw Pc 1330 N Classen Blvd 307 Oklahoma City OK 73106-6835 Ph: (405) 604-0180 | Valeria E Milstead-benabdallah Lcsw Pc 1330 N Classen Blvd 307 Oklahoma City OK 73106-6835 Ph: (405) 604-0180 |
| NPI Number | 1518095629 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 12/21/2007 |
| Medicare PECOS PAC ID | 5597728238 |
|---|---|
| Medicare Enrollment ID | O20041104000583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518095629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2513 (Oklahoma) | Primary |
| Provider Name | Valeria E Milstead-benabdallah |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710093141 PECOS PAC ID: 5597728246 Enrollment ID: I20041112000628 |
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