Provider Demographics
NPI:1629309810
Name:CHATFIELD, CANDIDA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CANDIDA
Middle Name:
Last Name:CHATFIELD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 720973
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-4757
Mailing Address - Country:US
Mailing Address - Phone:405-537-0220
Mailing Address - Fax:
Practice Address - Street 1:3535 NW 58TH ST
Practice Address - Street 2:SUITE 870E
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4804
Practice Address - Country:US
Practice Address - Phone:405-702-9032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health