| Sundance Counseling Services, Llc | |
|
13413 E 106th St N Owasso OK 74055-5910 | |
| (918) 928-2601 | |
| Not Available |
| Full Name | Sundance Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 13413 E 106th St N, Owasso, Oklahoma |
| Authorized Official Name and Position | Jeffery Stewart (OWNER) |
| Authorized Official Contact | 9189282601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Counseling Services, Llc Po Box 1194 Owasso OK 74055-1194 Ph: (918) 928-2601 | Sundance Counseling Services, Llc 13413 E 106th St N Owasso OK 74055-5910 Ph: (918) 928-2601 |
| NPI Number | 1477166296 |
|---|---|
| Provider Enumeration Date | 08/31/2020 |
| Last Update Date | 08/31/2020 |
| Certification Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477166296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
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