Provider Demographics
NPI:1528194164
Name:PAPIN, CAROL LEE (LPC-LADC-CCPC-)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:LEE
Last Name:PAPIN
Suffix:
Gender:F
Credentials:LPC-LADC-CCPC-
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 MILL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-2829
Mailing Address - Country:US
Mailing Address - Phone:405-348-7494
Mailing Address - Fax:
Practice Address - Street 1:1607 PROFESSIONAL CIR
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6314
Practice Address - Country:US
Practice Address - Phone:405-265-2800
Practice Address - Fax:405-494-2007
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLPC 1522101Y00000X
OKCCPS 95101Y00000X
OKLADC 422101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)