Individual
SHONTA YANETTE CROWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3606 IDAHO AVE, BARTLESVILLE, OK 74006-2420
(918) 337-8080
(918) 337-8099
Mailing address
PO BOX 3492, BARTLESVILLE, OK 74006-3492
(918) 766-6998
(918) 876-6030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
5264
OK
Other
Enumeration date
07/12/2011
Last updated
11/27/2023
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