| None | |
|
2912 S Douglas Blvd Suite A Midwest City OK 73130-7179 | |
| (405) 737-1132 | |
| (405) 737-1112 |
| Full Name | None |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2912 S Douglas Blvd, Midwest City, Oklahoma |
| Authorized Official Name and Position | Gloria J Schratwieser (LPC) |
| Authorized Official Contact | 4057371132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 2912 S Douglas Blvd Suite A Midwest City OK 73130-7179 Ph: (405) 737-1132 | None 2912 S Douglas Blvd Suite A Midwest City OK 73130-7179 Ph: (405) 737-1132 |
| NPI Number | 1306084934 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 02/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306084934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3632 (Oklahoma) | Primary |
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