Doctor Name: | KATINA MARIE CARLTON |
NPI Number: | 1295865939 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA |
License Number: | |
Business Practice Address: | Rr 1 Box 131c Eufaula, OK - 744329223 |
Business Phone Number: | 9184523133 |
Business Fax Number: | |
Mailing Address: | Rural Route 1 Box 131 C, EUFAULA |
State: | OKLAHOMA |
Postal Code: | 74426 |
Phone Number: | 9184523133 |
Fax Number: | |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 06/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |