Provider Demographics
NPI:1538572433
Name:MILLINGTON, SHARON (MA)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:MILLINGTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:SHEL
Other - Middle Name:
Other - Last Name:MILLINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:5534 N WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-4006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5534 N WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-4006
Practice Address - Country:US
Practice Address - Phone:405-308-7173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor