Individual
DONNA OLINE ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 NE 36TH ST, OKLAHOMA CITY, OK 73111-5218
(405) 270-0005
Mailing address
3715 NW 8TH ST, OKLAHOMA CITY, OK 73107-6016
(405) 740-4183
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/28/2010
Last updated
07/10/2012
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