Individual
MS. CARLA D SUITOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. LPC LADC
Contact information
Practice address
1021 E HIGHWAY 66, ELK CITY, OK 73644-1906
(580) 225-4337
(580) 225-4338
Mailing address
22678 ROUTE 66 N, CLINTON, OK 73601-7516
(580) 225-4337
(580) 225-4338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
286
OK
101YP2500X
Professional Counselor
Primary
2029
OK
Other
Enumeration date
06/19/2009
Last updated
06/19/2009
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