Provider Demographics
NPI:1255614186
Name:STARNES, SHARLENE S (MASTERS IN COUNSELIN)
Entity type:Individual
Prefix:MRS
First Name:SHARLENE
Middle Name:S
Last Name:STARNES
Suffix:
Gender:F
Credentials:MASTERS IN COUNSELIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13228 S ROBINSON AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-1431
Mailing Address - Country:US
Mailing Address - Phone:405-794-1258
Mailing Address - Fax:405-794-1258
Practice Address - Street 1:8901 S SANTA FE AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-8413
Practice Address - Country:US
Practice Address - Phone:405-605-5757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health