person
Mrs. Catrina Blaise Cantwell
Mental Health Counselor in Moore, Oklahoma
NPI 1447875208

Catrina Blaise Cantwell is a Mental Health Counselor based in Moore, OK and is specialized in Mental Health. Catrina Blaise Cantwell practices in Moore, OK. The NPI Number for Catrina Blaise Cantwell is 1447875208 and holds a License No. 11302 (Oklahoma).

The current practice location address for Catrina Blaise Cantwell is 620 Nw 5Th St Ste D, Moore, OK and can be reached out via phone at 405-208-4469 and via fax at 405-208-4472.

Location: 620 Nw 5Th St Ste D, Moore, OK, 73160-3947
person
Provider Profile Details
NPI Number
1447875208
Provider Name
Catrina Blaise Cantwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
620 Nw 5Th St Ste D, Moore, OK, 73160-3947
Phone Number
405-208-4469
Fax Number
405-208-4472
Provider Enumeration Date
06/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201133840A 05 OK
institution
Provider Business Practice Location Address Details
Address
620 Nw 5Th St Ste D
City
State
Zip
73160-3947
Phone Number
405-208-4469
Fax Number
405-208-4472
person
Provider Business Mailing Address Details
Address
620 Nw 5Th St Ste D
City
State
Zip
73160-3947
Phone Number
405-208-4469
Fax Number
405-208-4472
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
11302 (Oklahoma)
Definition
Definition to come...
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