NPI 1053542035

Ladonna Kay Shadlow, CBHCMBA

Practitioner Counselor Okmulgee, OK

Practice location

Address: 114 N Grand Ave STE 418, Okmulgee, OK 74447-4032
Phone: (918) 227-2016
Mailing address: PO Box 93, Skiatook, OK 74070-0093

Registered specialties (2)

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Oklahoma →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Oklahoma →

Registry record

NPI: 1053542035
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Aug 2009
Record last updated: 7 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.