Most Relevant Information
Provider Data
NPI Number: | 1003014200 |
Provider Name: | SHARELL CLYDEAN CATON LPC, LADC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | 4464 |
Most Important Dates
Enumeration Date: | 07/10/2007 |
Last Updated: | 06/15/2014 |
Provider Practice Location
10725 COUNTY ROAD 3590
ADA
OK
748200058
Practice Location Phone/Fax
Phone: | 5806650211 |
Fax: |
Provider Mailing Location
10725 COUNTY ROAD 3590
ADA
OK
748200058
Provider Mailing Phone/Fax
Phone: | 5806650211 |
Fax: |