Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YP2500X | Professional Counselor | 6016 | OK |
NPI | 1003135682 |
---|---|
Provider Name | Doneva Y Chalakani |
First Address | Bethany, OK 73008-5645 |
Second Address | Bethany, OK 73008-5645 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2010 |
Last Update Date | 22/07/2016 |