Individual
KARRIE UTTERBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
326 W 11TH ST, SHAWNEE, OK 74801-6710
(405) 275-3340
(405) 275-3343
Mailing address
11926 HIGHWAY 3E, EARLSBORO, OK 74840-9036
(405) 380-7891
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1871
OK
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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