| John Soap Jr, | |
|
1336 N Harrison Ave, Shawnee, OK 74801-5206 | |
| (140) 542-4771 | |
| Not Available |
| Full Name | John Soap Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1336 N Harrison Ave, Shawnee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285037762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (Oklahoma) | Primary |
| Entity Name | Oklahoma Mental Health Council |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275574907 PECOS PAC ID: 3173514387 Enrollment ID: O20040518001034 |
| Mailing Address | Practice Location Address |
|---|---|
| John Soap Jr, 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 Ph: (405) 878-4716 | John Soap Jr, 1336 N Harrison Ave, Shawnee, OK 74801-5206 Ph: (140) 542-4771 |
Darian N Gates, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-275-7100 | |
Stephanie A. Jennings, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1605 N Harrison St, Shawnee, OK 74804 Phone: 405-481-7187 Fax: 405-481-7219 | |
Burl Thomas Randall Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1130 E Independence St Apt 515, Shawnee, OK 74804 Phone: 405-584-2812 | |
Jessica Loren Buchanan, MBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-878-1135 Fax: 405-878-1138 | |
Mrs. Georgia Earline Ramsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 N Union Ave, Shawnee, OK 74801 Phone: 405-275-7100 | |
Kristy Ann Morrell, LCSW-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 706 Madeline Dr, Shawnee, OK 74801 Phone: 405-585-9653 | |
Christine Wahpekeche, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Butler Dr, Shawnee, OK 74804 Phone: 405-617-9669 |