Individual
MRS. CLEATTA SHUMATE-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
3311 E 46TH ST, TULSA, OK 74135-2903
(918) 747-8282
(918) 747-6601
Mailing address
2140 N WACO AVE, TULSA, OK 74127-2221
(918) 587-8916
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2503
OK
Other
Enumeration date
06/02/2006
Last updated
12/17/2009
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