Coffman 405 Counseling Llc | |
1605 N Harrison St Shawnee OK 74804-4022 | |
(405) 481-4120 | |
Not Available |
Full Name | Coffman 405 Counseling Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1605 N Harrison St, Shawnee, Oklahoma |
Authorized Official Name and Position | Shelley L Coffman (LICENCED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 4052011722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coffman 405 Counseling Llc 2 Lakeview Cir Shawnee OK 74804-3021 Ph: (405) 201-1722 | Coffman 405 Counseling Llc 1605 N Harrison St Shawnee OK 74804-4022 Ph: (405) 481-4120 |
NPI Number | 1669043311 |
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Provider Enumeration Date | 07/04/2021 |
Last Update Date | 01/12/2023 |
Certification Date | 01/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669043311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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