Provider Demographics
NPI:1003014200
Name:CATON, SHARELL CLYDEAN (LPC, LADC)
Entity Type:Individual
Prefix:
First Name:SHARELL
Middle Name:CLYDEAN
Last Name:CATON
Suffix:
Gender:F
Credentials:LPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10725 COUNTY ROAD 3590
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-0058
Mailing Address - Country:US
Mailing Address - Phone:580-665-0211
Mailing Address - Fax:
Practice Address - Street 1:10725 COUNTY ROAD 3590
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-0058
Practice Address - Country:US
Practice Address - Phone:580-665-0211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2014-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4464101YP2500X
OK775101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)