Individual
MS. CHARLENE RADEBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1140 MAYBERRY DR, TAHLEQUAH, OK 74464-4603
(918) 456-8399
(918) 456-8773
Mailing address
19592 E HORSESHOE BEND RD, PARK HILL, OK 74451-4113
(918) 431-0484
(918) 456-8773
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2823
OK
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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