Konawha D Ade, B.S.

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

NPI 1801038823 · NPPES record last updated Apr 6, 2009

Key facts

NPI
1801038823
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
6333 E Skelly Dr
Tulsa, OK 74135-6106
Phone
(918) 664-4224
NPI assigned
Apr 6, 2009
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
Credentials
Bachelor of Science

Specialties & licenses

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

Addresses

Primary practice location

6333 E Skelly Dr
Tulsa, OK 74135-6106

Mailing address

6333 E Skelly Dr
Tulsa, OK 74135-6106
Phone (918) 664-4224

Other providers in Tulsa, OK

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

Sources for this page

Verify at the official NPI Registry.