Provider Demographics
NPI:1275868747
Name:STRAUB, KARENE (MSHR)
Entity Type:Individual
Prefix:
First Name:KARENE
Middle Name:
Last Name:STRAUB
Suffix:
Gender:F
Credentials:MSHR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 SW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:OK
Mailing Address - Zip Code:73439-8001
Mailing Address - Country:US
Mailing Address - Phone:580-371-3672
Mailing Address - Fax:580-371-3651
Practice Address - Street 1:703 SW 2ND ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:OK
Practice Address - Zip Code:73439-8001
Practice Address - Country:US
Practice Address - Phone:580-371-3672
Practice Address - Fax:580-371-3651
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional