Clara Gladean Baker, CRSS

Individual provider Active NPI Mental Health Counselor · Durant, OK

NPI 1063607281 · NPPES record last updated Sep 11, 2007

Key facts

NPI
1063607281
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1001 W Main St
Durant, OK 74701-5038
Phone
(580) 924-7330
Fax
(580) 924-2739
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1001 W Main St
Durant, OK 74701-5038

Mailing address

1001 W Main St
Durant, OK 74701-5038
Phone (580) 924-7330

Other providers in Durant, OK

All providers in Durant, OK · Mental Health Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.