Individual
MS. CHARA DANNELLE AVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
2 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3337
Mailing address
1406 BETH CT, ELK CITY, OK 73644-1204
(580) 330-1216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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