Individual
MISS COLETTA ROCHELLE WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3621 N KELLEY AVE, SUITE 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
Mailing address
708 BROOKWOOD DR, OKLAHOMA CITY, OK 73139-5002
(901) 340-9561
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
106192031
TN
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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