| Junction Refuge Counseling & Dui School Inc | |
|
109 E Main St Unit D Stigler OK 74462-2704 | |
| (918) 442-9847 | |
| Not Available |
| Full Name | Junction Refuge Counseling & Dui School Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 E Main St Unit D, Stigler, Oklahoma |
| Authorized Official Name and Position | Karen L Peck (OWNER) |
| Authorized Official Contact | 9184429847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Junction Refuge Counseling & Dui School Inc 11378 W Highway 9 Stigler OK 74462-3609 Ph: (918) 442-9847 | Junction Refuge Counseling & Dui School Inc 109 E Main St Unit D Stigler OK 74462-2704 Ph: (918) 442-9847 |
| NPI Number | 1952151649 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 4486197639 |
|---|---|
| Medicare Enrollment ID | O20240617002495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952151649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QR0800X | Clinic/center - Recovery Care | (* (Not Available)) | Secondary |
| Provider Name | Karen Peck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881754323 PECOS PAC ID: 0244773331 Enrollment ID: I20240618000450 |
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