Provider Demographics
NPI:1518294354
Name:SUNDVALL, CATINA LEY (MCP, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:CATINA
Middle Name:LEY
Last Name:SUNDVALL
Suffix:
Gender:F
Credentials:MCP, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 W BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-3842
Mailing Address - Country:US
Mailing Address - Phone:580-233-8900
Mailing Address - Fax:580-540-9819
Practice Address - Street 1:516 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-3842
Practice Address - Country:US
Practice Address - Phone:580-233-8900
Practice Address - Fax:580-540-9819
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health