Individual
JONNI CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, BHRS
Contact information
Practice address
1625 W OWEN K GARRIOTT RD, SUITE F, ENID, OK 73703-5653
(580) 242-4673
(580) 242-4679
Mailing address
2717 MCGILL DR, ENID, OK 73703-3122
(580) 242-4673
(580) 242-4679
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0000
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-5274892
—
OK
Enumeration date
01/18/2010
Last updated
01/18/2010
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