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E-School Virtual Charter Academy

Counselor, Mental Health in Guthrie, OK. Organization (NPI-2).

NPI number1750167052
StatusActive
Last updated in NPPESSep 4, 2023

Details

NPI
1750167052
Entity type
Organization (NPI-2)
Legal business name
E-School Virtual Charter Academy
Organization subpart
No
Enumeration date
Sep 4, 2023
Certification date
Sep 4, 2023
Last updated
Sep 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
261QM1300X Clinic/Center, Multi-Specialty––

Practice location

2403 S Division St Ste B
Guthrie, OK 73044-6031

Phone 833-203-4300

Mailing address

2403 S Division St Ste B
Guthrie, OK 73044-6031

Authorized official

Tammy Shepard
Director Of Federal Programs
8332034300

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Other Mental Health Counselor providers in Guthrie, OK

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