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NPI Code Detail

MEDICARE: SHARITA YARBROUGH

MEDICARE: SHARITA YARBROUGH
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1891223384
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARITA YARBROUGH
Provider Business Mailing Address
First Line : 1728 S CARSON AVE
Second Line :
City : TULSA
State : OK
Zip : 74119-4610
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1728 S CARSON AVE
Second Line :
City : TULSA
State : OK
Zip : 74119-4610
Country : US
Telephone Number : 918-289-7099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2017
Last Update Date : 05/26/2017

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Directions to “ SHARITA YARBROUGH ” Practice Location

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