| Thunder Canyon Counseling Center, Inc. | |
|
1911 Locust St Alva OK 73717-1759 | |
| (580) 327-3846 | |
| Not Available |
| Full Name | Thunder Canyon Counseling Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1911 Locust St, Alva, Oklahoma |
| Authorized Official Name and Position | Mark William Davis (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5803273846 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thunder Canyon Counseling Center, Inc. 1911 Locust St Alva OK 73717-1759 Ph: (580) 327-3846 | Thunder Canyon Counseling Center, Inc. 1911 Locust St Alva OK 73717-1759 Ph: (580) 327-3846 |
| NPI Number | 1003025990 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 10/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003025990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1107 (Oklahoma) | Primary |
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