Individual
CELESTE NORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W WILSHIRE BLVD STE 224, OKLAHOMA CITY, OK 73116-7020
(405) 849-6526
Mailing address
620 NW 19TH ST, OKLAHOMA CITY, OK 73103-1879
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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