Carla Kay Ainsworth, LPC

Individual provider Active NPI Professional Counselor · El Reno, OK

NPI 1629314208 · NPPES record last updated Dec 30, 2012

Key facts

NPI
1629314208
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
4946 (OK)
Practice address
2001 S Country Club Rd
El Reno, OK 73036-5689
Phone
(940) 886-8677
NPI assigned
Dec 30, 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

State licenses

LicenseStateTypeSpecialty
4946OKMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4946 OK Yes

Addresses

Primary practice location

2001 S Country Club Rd
El Reno, OK 73036-5689

Mailing address

2001 S Country Club Rd
El Reno, OK 73036-5689
Phone (940) 886-8677

Other providers in El Reno, OK

All providers in El Reno, OK · Professional Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.