Individual provider · NPI-1

Cara Aurora Canady

Counselor, Professional · Oklahoma City, OK

NPI number1255688982
StatusActive
Last updated in NPPESDec 6, 2023

Details

NPI
1255688982
Entity type
Individual (NPI-1)
Name
Cara Aurora Canady
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 13, 2012
Certification date
Dec 6, 2023
Last updated
Dec 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional84997TXYes
101Y00000X Counselor––
247200000X Technician, Other––

Practice location

401 Ne 46th St
Oklahoma City, OK 73105-3309

Phone 405-602-6331

Mailing address

10504 Timbercrest Ln
Austin, TX 78750-1643

Phone 512-567-9591

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