Individual provider · Type 1 NPI
Olivia Larae Carrell, LPC
Mental Health Counselor · Ardmore, OK
NPI number
1316346547
Active
Practice location
15 Monroe Street NE
Ardmore, OK 73401
Mailing address
2306 Mary Niblack Rd
Ardmore, OK 73401-8482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 7618 (OK) |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1316346547
Olivia Larae Carrell, LPC's National Provider Identifier is 1316346547, issued on Aug 13, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ardmore, OK. The record was last updated on Aug 11, 2020.