Provider Demographics
NPI:1811215825
Name:DESECOTTIER, ANABEL (BS PSY)
Entity Type:Individual
Prefix:
First Name:ANABEL
Middle Name:
Last Name:DESECOTTIER
Suffix:
Gender:F
Credentials:BS PSY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 HURON ST
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-7667
Mailing Address - Country:US
Mailing Address - Phone:580-278-1999
Mailing Address - Fax:580-213-3133
Practice Address - Street 1:1935 HURON ST
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-7667
Practice Address - Country:US
Practice Address - Phone:580-278-1999
Practice Address - Fax:580-213-3133
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor