Provider Demographics
NPI:1841568227
Name:FLOWERS, CLESTINE JESSIE
Entity type:Individual
Prefix:
First Name:CLESTINE
Middle Name:JESSIE
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 E COLLEGE AVE APT 14
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-4539
Mailing Address - Country:US
Mailing Address - Phone:510-256-6100
Mailing Address - Fax:
Practice Address - Street 1:1720 E COLLEGE AVE APT 14
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-4539
Practice Address - Country:US
Practice Address - Phone:510-256-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor