Joshua Joseph Lange-Casillas
Individual provider Active NPI Professional Counselor · Alva, OK
NPI 1376940650 · NPPES record last updated Dec 2, 2014
Key facts
- NPI
- 1376940650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 604 Choctaw St
Alva, OK 73717-1626 - Phone
- (580) 327-1112
- NPI assigned
- Dec 2, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
604 Choctaw St
Alva, OK 73717-1626
Mailing address
604 Choctaw St
Alva, OK 73717-1626
Phone (580) 327-1112
Other providers in Alva, OK
- Christy Marie Kerfoot-Tidwell
- Kimbr Enterprises Inc
- Dana Kirkpatrick
- Kirt Bierig D O Inc
- Yolanda Kornele
- Larry G. Smith, D.D.S., Inc.
- Terri Leeper
- Erin Lehr
- Linda K McMurphy MD PLLC
- Jeremy D Logsdon
All providers in Alva, OK · Professional Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.