| Amber Walter Llc | |
|
2525 Nw Expressway Oklahoma City OK 73112-7227 | |
| (918) 404-8299 | |
| Not Available |
| Full Name | Amber Walter Llc |
|---|---|
| Speciality | Counselor |
| Location | 2525 Nw Expressway, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Amber Walter (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9184048299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amber Walter Llc 2537 Nw 56th St Oklahoma City OK 73112-7140 Ph: (918) 404-8299 | Amber Walter Llc 2525 Nw Expressway Oklahoma City OK 73112-7227 Ph: (918) 404-8299 |
| NPI Number | 1043924962 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 01/06/2023 |
| Certification Date | 01/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043924962 | NPI | - | NPPES |
| 1285294587 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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