Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003097908 |
---|---|
Provider Name | Ms. Paula Turner |
First Address | Ada, OK 74820-3267 |
Second Address | Ada, OK 74820-3267 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2007 |
Last Update Date | 17/07/2014 |