| Ms Shavonne Etolia Taylor, MHR LPC | |
|
401 W Main St, Barnsdall, OK 74002-6631 | |
| (918) 289-0550 | |
| (918) 289-0551 |
| Full Name | Ms Shavonne Etolia Taylor |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 401 W Main St, Barnsdall, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508909235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5303 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shavonne Etolia Taylor, MHR LPC 401 W Main St, Barnsdall, OK 74002-6631 Ph: (918) 289-0550 | Ms Shavonne Etolia Taylor, MHR LPC 401 W Main St, Barnsdall, OK 74002-6631 Ph: (918) 289-0550 |
Destiny A Ritchie, LMSW-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 W Main St, Barnsdall, OK 74002 Phone: 918-847-3527 Fax: 918-777-9018 | |
Mrs. Jill Suzanne Sago, BA, MED, MHR Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 W. Main St., Barnsdall, OK 74002 Phone: 918-847-3527 | |
Misty Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 W. Main St., Barnsdall, OK 74002 Phone: 918-847-3527 Fax: 918-777-9018 | |
Michael Steven Backora, Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 W. Main St., Barnsdall, OK 74002 Phone: 918-604-6054 Fax: 918-777-9018 |