Whalio Doctors

NPI 1053658534

Clifford Dwain Sanders, LPCLADC

Practitioner Mental Health Counselor Seminole, OK

Practice location

Address
214 E Oak Ave, Seminole, OK 74868-3442
Phone
(405) 382-1112
Mailing address
24198 Brangus Rd, Tecumseh, OK 74873-7520

Registered specialties (2)

Mental Health Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 2874 (OK)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 798 (OK)

Registry record

NPI
1053658534
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Jan 2013
Record last updated
19 Sep 2014

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.