Breann N Eppler, BHRS

Individual provider Active NPI Mental Health Counselor · Madill, OK

NPI 1942584487 · NPPES record last updated Oct 3, 2011

Key facts

NPI
1942584487
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
605 S 1St St
Madill, OK 73446-3807
Phone
(580) 795-3794
Fax
(580) 795-3170
NPI assigned
Oct 3, 2011
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

605 S 1St St
Madill, OK 73446-3807

Mailing address

20999 Tiny Chapel Rd
Madill, OK 73446-6543
Phone (580) 677-2866

Other identifiers

IdentifierTypeStateIssuer
200049040MedicaidOK

Other providers in Madill, OK

All providers in Madill, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.