Bison Family Therapy Institute, Pllc

NPI 1023453602 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1023453602
Enumeration Date 05/08/2013
Last Updated 05/08/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CANAAN CANAAN
Position OWNER
Phone (405) 226-0644
Fax (405) 395-0255
Practice Location
624 W INDEPENDENCE ST
STE 113
SHAWNEE OK, 74804-4329, US
Phone (405) 226-0644
Fax (405) 395-0255
Business Location
624 W INDEPENDENCE ST
STE 113
SHAWNEE OK, 74804-4329, US
Phone
Fax (405) 395-0255
Toxanomy
Taxonomy Code 106H00000X
License State Oklahoma
License Number 783
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According to our database, Bison Family Therapy Institute, Pllc NPI is 1023453602, taxonomy code is 106H00000X and license number is 783, license state is located at Oklahoma. Bison Family Therapy Institute, Pllc physically located at 624 W Independence St, Shawnee OK, 74804-4329. NPI Number 1033115704 has the healthcare provider type.

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1023453602 NPI number is provided on an as is basis without warranty of any kind. 1023453602 is maintained by the National Plan & Provider Enumeration System. The contents of Bison Family Therapy Institute, Pllc are for informational purposes only.