RAVEN JACINDA WALL CADC UNDER SUPERVISI
NPI 1457524027
Counselor - Addiction (Substance Use Disorder) in Norman, OK

Q: What is Raven Wall's NPI number?

The NPI number for Raven Wall is 1457524027. It was assigned to this individual provider in the NPPES registry on April 3, 2008.

Q: What is Raven Wall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Raven Wall was last updated on April 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 03, 2008

2920 CHAUTAUQUA AVE APT 38, NORMAN, OK 73072(405) 528-8686(405) 528-8692 Get Directions Write a Review

NPPES record last updated: April 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Raven Jacinda Wall Cadc Under Supervisi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN JACINDA WALL CADC UNDER SUPERVISI (NPI 1457524027) is an individual addiction (substance use disorder) provider in Norman, Oklahoma and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1457524027

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameRAVEN JACINDA WALLCredential: CADC UNDER SUPERVISI

Location Address2920 CHAUTAUQUA AVE APT 38Norman, OK 73072-7736

Mailing Address2920 Chautauqua Ave Apt 38Norman, OK 73072-7736 · (405) 528-8686 · Fax (405) 528-8692

Phone(405) 528-8686

Fax(405) 528-8692

Sole ProprietorNo

Enumeration DateApril 3, 2008

✔ NPI 1457524027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

2920 CHAUTAUQUA AVE APT 38, Norman, OK 73072

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven Wall's NPI number?

The NPI number for Raven Wall is 1457524027. It was assigned to this individual provider in the NPPES registry on April 3, 2008.

Where is Raven Wall located?

Raven Wall practices at 2920 Chautauqua Ave Apt 38, Norman, OK 73072. The listed phone number is (405) 528-8686.

What is Raven Wall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Raven Wall was last updated on April 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.