Provider Demographics
NPI:1922325018
Name:TALKINGTON, KARIE M (MED; LPC-S; CSP; NC)
Entity Type:Individual
Prefix:MRS
First Name:KARIE
Middle Name:M
Last Name:TALKINGTON
Suffix:
Gender:F
Credentials:MED; LPC-S; CSP; NC
Other - Prefix:MS
Other - First Name:KARIE
Other - Middle Name:M
Other - Last Name:SHANNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSP
Mailing Address - Street 1:349 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-0830
Mailing Address - Country:US
Mailing Address - Phone:580-931-7745
Mailing Address - Fax:
Practice Address - Street 1:529 N 16TH AVE # A
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-3610
Practice Address - Country:US
Practice Address - Phone:580-924-8280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKLPC05685101YM0800X
OK101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty