| Sara Durham Counseling Llc | |
|
1500 S Midwest Blvd Ste. 102 Midwest City OK 73110-4946 | |
| (405) 226-2251 | |
| Not Available |
| Full Name | Sara Durham Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1500 S Midwest Blvd, Midwest City, Oklahoma |
| Authorized Official Name and Position | Sara Gale Durham (OWNER) |
| Authorized Official Contact | 4052262251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Durham Counseling Llc 1500 S Midwest Blvd Ste. 102 Midwest City OK 73110-4946 Ph: (405) 226-2251 | Sara Durham Counseling Llc 1500 S Midwest Blvd Ste. 102 Midwest City OK 73110-4946 Ph: (405) 226-2251 |
| NPI Number | 1114382298 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 12/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114382298 | NPI | - | NPPES |
| 200458210 C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 5848 (Oklahoma) | Primary |
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