Wendy Mae Clouse

Individual provider Active NPI Mental Health Counselor · Altus, OK

NPI 1780195404 · NPPES record last updated Oct 20, 2017

Key facts

NPI
1780195404
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
111 N Hudson St
Altus, OK 73521-3811
Phone
(580) 379-4085
NPI assigned
Oct 20, 2017
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

111 N Hudson St
Altus, OK 73521-3811

Mailing address

PO Box 108
Altus, OK 73522-0108
Phone (580) 954-2156

Other providers in Altus, OK

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

Sources for this page

Verify at the official NPI Registry.