Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHELLY J LARSON, CADC
ActiveMR. SHELLY J LARSON, CADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in MANGUM, Oklahoma. NPI 1891902409 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · MANGUM, OK
Registration Details
- NPI Number
- 1891902409
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 16, 2007 (19.205185943984 yrs)
- Last Updated
- Jul 8, 2007
- License
-
256 (OK)
Practice Information
- Address
-
2 WICKERSHAM STMANGUM, OK, 735549117Browse OK providers · Browse ZIP 73554
- Phone
- 5807823337
- Fax
- 5807823337
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MANGUM, OK
| Name | Credential | NPI |
|---|---|---|
| NATHANIEL DASH | CADC | 1619094851 |
| MRS. SHELIA ANNETTE HOLMES | BA | 1417162033 |
| MR. ROBERT ALBERT MILSTEAD | B.S. | 1275741290 |
| MS. LENNA KAYE ADAMS | BS | 1629270467 |
| MS. DELORIS A REESE | BS | 1770785511 |
| MR. FRANK M TALLEY | M.ED L.A.DC | 1982809596 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.