Individual
MISS CANDY MICHELLE HIGHTOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, LPC, LADC
Contact information
Practice address
1201 ARLINGTON ST STE G, ADA, OK 74820-4072
(580) 332-6851
Mailing address
1201 ARLINGTON ST STE G, ADA, OK 74820-4072
(580) 332-6851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
810
OK
101YP2500X
Professional Counselor
Primary
4671
OK
Other
Enumeration date
09/10/2007
Last updated
10/25/2011
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