| Kara M. Smith, Llc | |
|
425 Fairview Ave Suite 1 Ponca City OK 74601-1902 | |
| (580) 382-5772 | |
| (580) 382-5731 |
| Full Name | Kara M. Smith, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 425 Fairview Ave, Ponca City, Oklahoma |
| Authorized Official Name and Position | Kara Smith (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 5803825772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kara M. Smith, Llc 425 Fairview Ave Suite 1 Ponca City OK 74601-1902 Ph: () - | Kara M. Smith, Llc 425 Fairview Ave Suite 1 Ponca City OK 74601-1902 Ph: (580) 382-5772 |
| NPI Number | 1063878221 |
|---|---|
| Provider Enumeration Date | 01/04/2016 |
| Last Update Date | 01/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063878221 | NPI | - | NPPES |
| 200580780A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5884 (Oklahoma) | Primary |
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