| James Weatherford, | |
|
109 N Fairland St, Pryor, OK 74361-4203 | |
| (918) 825-1405 | |
| (918) 825-1406 |
| Full Name | James Weatherford |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 109 N Fairland St, Pryor, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881196251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| James Weatherford, 109 N Fairland St, Pryor, OK 74361-4203 Ph: (918) 825-1405 | James Weatherford, 109 N Fairland St, Pryor, OK 74361-4203 Ph: (918) 825-1405 |
Breanna Nicole Cook, MHR, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1401 Fax: 918-825-1406 | |
Jacqueline Marie Flynn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 E Graham Ave, Pryor, OK 74361 Phone: 918-825-1405 | |
Ladena Carol Moore, LPC NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 212 S E 1st, Pryor, OK 74361 Phone: 918-825-4115 Fax: 918-825-6612 | |
Mrs. Kara Jamison, LPC Counselor Medicare: Medicare Enrolled Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1405 | |
Courtney Shiann Anderson, BHP Counselor Medicare: Medicare Enrolled Practice Location: 109 N Fairland St, Pryor, OK 74361 Phone: 918-825-1405 Fax: 918-825-1406 | |
Charity Dalaina Hall, LPC Counselor Medicare: Medicare Enrolled Practice Location: 231 E Graham Ave, Pryor, OK 74361 Phone: 918-520-0722 | |
Janette Marie Nuspl, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 231 E Graham Ave, Pryor, OK 74361 Phone: 918-825-1405 |