| Mrs Connie Marie Glasco, LPC | |
|
501 East 2nd St, Heavener, OK 74937 | |
| (918) 653-7718 | |
| (918) 653-7279 |
| Full Name | Mrs Connie Marie Glasco |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 501 East 2nd St, Heavener, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790905107 | NPI | - | NPPES |
| 599 | Other | OK | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 599 (Oklahoma) | Primary |
| 101YM0800X | Counselor - Mental Health | 599 (Oklahoma) | Secondary |
| Entity Name | State Of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588755532 PECOS PAC ID: 4486558962 Enrollment ID: O20031125000846 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Connie Marie Glasco, LPC 40479 Morris Creek Rd, Howe, OK 74940-7364 Ph: (918) 658-3891 | Mrs Connie Marie Glasco, LPC 501 East 2nd St, Heavener, OK 74937 Ph: (918) 653-7718 |
Hannah Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 E 2nd St, Heavener, OK 74937 Phone: 918-653-7718 | |
Ricky Lee Huggins, LADC Counselor Medicare: Medicare Enrolled Practice Location: 46100 Lovings Ln, Heavener, OK 74937 Phone: 479-650-9691 | |
Marilyn Presley, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 W Avenue D, Heavener, OK 74937 Phone: 918-839-2377 | |
Mrs. Connie M Ray, LPC Counselor Medicare: Medicare Enrolled Practice Location: 123 E Avenue C Ste B, Heavener, OK 74937 Phone: 918-658-4016 Fax: 866-318-8057 | |
Kristina Anne Mccoy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 E 2nd St, Heavener, OK 74937 Phone: 918-653-7718 | |
Nona Gentry, LPC Counselor Medicare: Medicare Enrolled Practice Location: 123 E Avenue C, Heavener, OK 74937 Phone: 918-658-8078 Fax: 866-318-8057 | |
Teri Box, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50407 Walker Mtn. Rd., Heavener, OK 74937 Phone: 918-413-2480 |