Individual
CALEB DEMARAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
628 E MAIN ST, COLLINSVILLE, OK 74021-3616
(918) 530-2474
Mailing address
628 E MAIN ST, COLLINSVILLE, OK 74021-3616
(918) 530-2474
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6922
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/12/2016
Last updated
04/17/2025
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