Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 55 | OK |
NPI | 1003849159 |
---|---|
Provider Name | Ms. Frances Beverly Rapp |
First Address | Oklahoma City, OK 73132-7023 |
Second Address | Oklahoma City, OK 73112-4273 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 19/11/2009 |