Organization
E-SCHOOL VIRTUAL CHARTER ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SHEPARD (DIRECTOR OF FEDERAL PROGRAMS)
(833) 203-4300
Entity
Organization
Contact information
Practice address
2403 S DIVISION ST STE B, GUTHRIE, OK 73044-6031
(833) 203-4300
Mailing address
2403 S DIVISION ST STE B, GUTHRIE, OK 73044-6031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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