Provider Demographics
NPI:1114074275
Name:HELTON, RUTH ANN (LPC, LADC MS)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ANN
Last Name:HELTON
Suffix:
Gender:F
Credentials:LPC, LADC MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 WEST CHICKASHA AVENUE
Mailing Address - Street 2:SUITE #417
Mailing Address - City:CHICKASHA
Mailing Address - State:OK
Mailing Address - Zip Code:73018-2503
Mailing Address - Country:US
Mailing Address - Phone:405-381-3203
Mailing Address - Fax:405-320-5382
Practice Address - Street 1:401 W CHICKASHA AVE
Practice Address - Street 2:SUITE # 417
Practice Address - City:CHICKASHA
Practice Address - State:OK
Practice Address - Zip Code:73018-2503
Practice Address - Country:US
Practice Address - Phone:405-224-3887
Practice Address - Fax:405-222-1964
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK84101YA0400X
OK2369101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK84OtherLICENSED ALCOHOL & DRUG COUNSELOR
OK2369OtherOKLA STATE