Individual
CARA EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMII
Contact information
Practice address
7777 E US HIGHWAY 66, EL RENO, OK 73036-9125
(405) 424-7711
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
(405) 858-1700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1023368859
OK
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023368859
—
OK
Enumeration date
09/19/2012
Last updated
07/07/2022
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