| Doctor Name: | MRS. JOAN BOUNDS SHUTTS |
| NPI Number: | 1487893020 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LADC |
| License Number: | 818 |
| Business Practice Address: | 16 S 7th St Duncan, OK - 735334940 |
| Business Phone Number: | 5802558800 |
| Business Fax Number: | 5802558842 |
| Mailing Address: | Rr 1 Box 45, COMANCHE |
| State: | OK |
| Postal Code: | 735299713 |
| Phone Number: | 5804395676 |
| Fax Number: | 5804396343 |
| NPI Enumeration Date: | 02/04/2009 |
| NPI Last Update Date: | 02/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 818 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |