Individual
SHELLY FOLTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2 N WATER ST, SAPULPA, OK 74066-2816
(918) 688-4234
Mailing address
2 N WATER ST, SAPULPA, OK 74066-2816
(918) 688-4234
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/02/2013
Last updated
10/09/2018
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