| Christian Counseling Plus Inc | |
|
16050 County Road 1565 Ada OK 74820-7911 | |
| (580) 436-9099 | |
| (580) 436-9146 |
| Full Name | Christian Counseling Plus Inc |
|---|---|
| Speciality | Counselor |
| Location | 16050 County Road 1565, Ada, Oklahoma |
| Authorized Official Name and Position | Charlotte Jean Burrough (OWNER) |
| Authorized Official Contact | 5804369099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Counseling Plus Inc Po Box 126 Fittstown OK 74842-0126 Ph: (580) 436-9099 | Christian Counseling Plus Inc 16050 County Road 1565 Ada OK 74820-7911 Ph: (580) 436-9099 |
| NPI Number | 1184745176 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 07/23/2007 |
| Medicare PECOS PAC ID | 8224139092 |
|---|---|
| Medicare Enrollment ID | O20070724000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184745176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1805 (Oklahoma) | Primary |
| Provider Name | Charlotte J Burrough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396732194 PECOS PAC ID: 5597866368 Enrollment ID: I20070724000030 |
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