Most Relevant Information
Provider Data
| NPI Number: | 1003534850 |
| Provider Name: | CELESTE NORTHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/18/2022 |
| Last Updated: | 08/18/2022 |
Provider Practice Location
1000 W WILSHIRE BLVD STE 224
OKLAHOMA CITY
OK
731167020
Practice Location Phone/Fax
| Phone: | 4058496526 |
| Fax: |
Provider Mailing Location
620 NW 19TH ST
OKLAHOMA CITY
OK
731031879
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |