| Ms Shavonne Etolia Taylor, MHR LPC | |
| 
					401 W Main St, Barnsdall, OK 74002-6631  | |
| (918) 289-0550 | |
| (918) 289-0551 | 
| Full Name | Ms Shavonne Etolia Taylor | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 401 W Main St, Barnsdall, Oklahoma | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508909235 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5303 (Oklahoma) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Shavonne Etolia Taylor, MHR LPC 401 W Main St, Barnsdall, OK 74002-6631 Ph: (918) 289-0550  | Ms Shavonne Etolia Taylor, MHR LPC 401 W Main St, Barnsdall, OK 74002-6631 Ph: (918) 289-0550  | 
Mrs. Jill Suzanne Sago, BA, MED, MHR Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 W. Main St., Barnsdall, OK 74002 Phone: 918-847-3527  | |
Misty Davis,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 401 W. Main St., Barnsdall, OK 74002 Phone: 918-847-3527 Fax: 918-777-9018  | |
Michael Steven Backora,  Counselor Medicare: Medicare Enrolled Practice Location: 401 W. Main St., Barnsdall, OK 74002 Phone: 918-604-6054 Fax: 918-777-9018  |