Kassandra Goodale

NPI #1457032088 in Atoka, Oklahoma

Provider Information

NPI Number: 1457032088
Entity Type: Individual
Name: Kassandra Goodale
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 27, 2023
Last Updated: Jul 27, 2023

Practice Location

Address: 186 W COURT ST
City: Atoka
State: Oklahoma
ZIP Code: 74525-1822
Phone: (580) 364-0669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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Individual Providers

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MS. Shelly Denise Jack, BHRS CM II	Clinic/Center - Mental Health (Including Community Mental Health Center)	Atoka	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Southern Oklahoma Treatment Services, Inc.	Clinic/Center - Mental Health (Including Community Mental Health Center)	Atoka	AI Deep Dive
Creoks Mental Health Services	Clinic/Center - Mental Health (Including Community Mental Health Center)	Atoka	AI Deep Dive
S-Okla Psychological Services, Inc.	Clinic/Center - Mental Health (Including Community Mental Health Center)	Atoka	AI Deep Dive

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