Individual
MS. BRENDA MACHELLE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
130 N BROADWAY AVE, SUITE 301, SHAWNEE, OK 74801-6910
(405) 613-3009
(405) 273-5280
Mailing address
130 N BROADWAY AVE, SUITE 301, SHAWNEE, OK 74801-6910
(405) 613-3009
(405) 273-5280
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2871
OK
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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