NPI 1376719716

Wichita Counseling Center

Organisation Preferred Provider Organization Lawton, OK

Practice location

Address: 6217 W Gore Blvd, Lawton, OK 73505-5836
Phone: (580) 353-4357
Fax: (580) 536-5102

Authorised official

Name: Arleta Spyce Stover
Title: Owner
Phone: (580) 383-4357

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 3569 (OK)

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Registry record

NPI: 1376719716
Entity type: Organization
NPI issued: 6 May 2008
Record last updated: 6 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.