| Whalen Therapeutic Center Pllc | |
|
10306 N 138th East Ave Ste. 206 Owasso OK 74055-4665 | |
| (918) 200-9691 | |
| (888) 975-3464 |
| Full Name | Whalen Therapeutic Center Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10306 N 138th East Ave, Owasso, Oklahoma |
| Authorized Official Name and Position | Jackie Lee Scott (COUNSELOR/PRESIDENT) |
| Authorized Official Contact | 9182009691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whalen Therapeutic Center Pllc 10306 N 138th East Ave Ste. 206 Owasso OK 74055-4665 Ph: (918) 200-9691 | Whalen Therapeutic Center Pllc 10306 N 138th East Ave Ste. 206 Owasso OK 74055-4665 Ph: (918) 200-9691 |
| NPI Number | 1912398322 |
|---|---|
| Provider Enumeration Date | 02/07/2015 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912398322 | NPI | - | NPPES |
| 200402920B | Medicaid | OK | |
| 200575340A | Medicaid | OK | |
| 201122950A | Medicaid | KS |
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