MEDICARE: CARRIE CUTSHALL M.S., M.ED.

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1467820761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE CUTSHALL M.S., M.ED.

Provider Business Mailing Address
First Line	:	3520 PEYTON CIR
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73034-2218
Country	:	US
Telephone Number	:	405-554-3876
Fax Number	:

Provider Business Practice Location Address
First Line	:	3520 PEYTON CIR
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73034-2218
Country	:	US
Telephone Number	:	405-554-3876
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2015
Last Update Date	:	04/01/2026

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