Provider Demographics
NPI:1285064253
Name:MORGAN, KATRINA ANNE (BS)
Entity type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:ANNE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 NE 3RD ST
Mailing Address - Street 2:PO BOX 53
Mailing Address - City:ANTLERS
Mailing Address - State:OK
Mailing Address - Zip Code:74523-2643
Mailing Address - Country:US
Mailing Address - Phone:580-209-8763
Mailing Address - Fax:
Practice Address - Street 1:705 NE 3RD ST
Practice Address - Street 2:
Practice Address - City:ANTLERS
Practice Address - State:OK
Practice Address - Zip Code:74523-2643
Practice Address - Country:US
Practice Address - Phone:580-209-8763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health