| Wohl's Counseling Clinic,llc | |
|
400 E Central Ave Ste.303e Ponca City OK 74601-5429 | |
| (580) 762-6511 | |
| (580) 762-6511 |
| Full Name | Wohl's Counseling Clinic,llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 400 E Central Ave, Ponca City, Oklahoma |
| Authorized Official Name and Position | Samantha Jo Wohl (OWNER) |
| Authorized Official Contact | 5807626511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wohl's Counseling Clinic,llc 400 E Central Ave Ste.303e Ponca City OK 74601-5429 Ph: (580) 762-6511 | Wohl's Counseling Clinic,llc 400 E Central Ave Ste.303e Ponca City OK 74601-5429 Ph: (580) 762-6511 |
| NPI Number | 1427369057 |
|---|---|
| Provider Enumeration Date | 06/29/2010 |
| Last Update Date | 06/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427369057 | NPI | - | NPPES |
| 200094600A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3745 (Oklahoma) | Primary |
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