NPI | 1285142992 |
---|---|
Doing Business As | SHANTEL MITCHELL-COOLEY, LCSW |
Entity Type | Organization |
Authorized Contact | SHANTEL MITCHELL-COOLEY Lcsw 405-659-2403 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OK 1290) |
1041C0700X Social Worker, Clinical (Licence: OK 5827) | |
Enumeration Date | 2018-01-16 |
Last Update Date | 2018-02-01 |