Caron Avery
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Claremore, OK
NPI 1508311440 · NPPES record last updated Aug 21, 2016
Key facts
- NPI
- 1508311440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 320 E 5TH St
Claremore, OK 74017-7415 - Phone
- (918) 849-1064
- NPI assigned
- Aug 21, 2016
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes | ||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X |
Addresses
Primary practice location
320 E 5TH St
Claremore, OK 74017-7415
Mailing address
320 E 5TH St
Claremore, OK 74017-7415
Phone (918) 849-1064
Other providers in Claremore, OK
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- Trixi J Asher
- Ryan Ashrafi
- Rachael Raylyn Austin
- Autumn Wood Opco, LLC
- Lorinda Rose Avery
- Axis RX Pharmacy, LLC
- Ahmad Z Azam
- Elizabeth Baehler
- Lauren Nicole Bahle
All providers in Claremore, OK · Addiction (Substance Use Disorder) Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.