Provider Demographics
NPI:1053676577
Name:MORGAN, ZANADE SHAREA
Entity Type:Individual
Prefix:
First Name:ZANADE
Middle Name:SHAREA
Last Name:MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 OAK PARK APT 44
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-5768
Mailing Address - Country:US
Mailing Address - Phone:405-370-4815
Mailing Address - Fax:
Practice Address - Street 1:44 OAK PARK APT 44
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-5768
Practice Address - Country:US
Practice Address - Phone:405-370-4815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor