Wardell Consulting Group, Llc | |
5909 Nw Expressway Oklahoma City OK 73132-5161 | |
(405) 412-5468 | |
(405) 302-5599 |
Full Name | Wardell Consulting Group, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 5909 Nw Expressway, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Brandon Clark Wardell (OWNER) |
Authorized Official Contact | 4054125468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wardell Consulting Group, Llc 2609 Kings Way Oklahoma City OK 73120-3306 Ph: (405) 412-5468 | Wardell Consulting Group, Llc 5909 Nw Expressway Oklahoma City OK 73132-5161 Ph: (405) 412-5468 |
NPI Number | 1720346778 |
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Provider Enumeration Date | 04/27/2012 |
Last Update Date | 04/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720346778 | NPI | - | NPPES |
200236790A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3455 (Oklahoma) | Primary |
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