Individual provider · Type 1 NPI

Cody Carlon

Mental Health Counselor · Shawnee, OK

NPI number 1851742480 Active

Practice location

1127 N Kickapoo Ave
Shawnee, OK 74801-4845

Fax (877) 334-8552

Mailing address

33207 45th St
Shawnee, OK 74804-3423

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1851742480

Cody Carlon's National Provider Identifier is 1851742480, issued on Jun 24, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shawnee, OK. The record was last updated on Jun 24, 2016.