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NPI Code Detail

MEDICARE: MISS SARAH JANE SCHUBARTH LADC-MH

MEDICARE: MISS SARAH JANE SCHUBARTH LADC-MH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1023265949
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SARAH JANE SCHUBARTH LADC-MH
Provider Business Mailing Address
First Line : 5537 BLEAUX AVE
Second Line :
City : SPRINGDALE
State : AR
Zip : 72762-0737
Country : US
Telephone Number : 479-872-5580
Fax Number : 479-872-5581
Provider Business Practice Location Address
First Line : 4300 N LINCOLN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73105-5107
Country : US
Telephone Number : 405-425-0428
Fax Number : 405-419-3042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2008
Last Update Date : 12/02/2019

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