Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003124231 |
---|---|
Provider Name | Ashley Sellers |
First Address | Norman, OK 73070-0050 |
Second Address | Norman, OK 73071-5021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2010 |
Last Update Date | 22/09/2010 |