Anita W White, M ED

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Haskell, OK

NPI 1285998633 · NPPES record last updated Jun 29, 2012

Key facts

NPI
1285998633
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
17897 W 10TH St N
Haskell, OK 74436-9462
Phone
(918) 348-5655
NPI assigned
Jun 29, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

17897 W 10TH St N
Haskell, OK 74436-9462

Mailing address

PO Box 869
Haskell, OK 74436-0869
Phone (918) 348-5655

Other providers in Haskell, OK

All providers in Haskell, OK · Addiction (Substance Use Disorder) Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.