Stephanie Bauer

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

NPI 1972995264 · NPPES record last updated Feb 24, 2015

Key facts

NPI
1972995264
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
104 S Moore Ave Apt 1
Claremore, OK 74017-5056
Phone
(918) 933-7809
NPI assigned
Feb 24, 2015
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
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

104 S Moore Ave Apt 1
Claremore, OK 74017-5056

Mailing address

104 S Moore Ave Apt 1
Claremore, OK 74017-5056
Phone (918) 933-7809

Other providers in Claremore, OK

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

Sources for this page

Verify at the official NPI Registry.