TERYL PEARSON M.ED., LADC
NPI 1750748984
Counselor - Addiction (Substance Use Disorder) in Mangum, OK
Active since January 19, 2016
2 WICKERSHAM DR., NEW HOPE RECOVERY CENTER, MANGUM, OK 73554(580) 782-3337 Get Directions Write a Review
About Teryl Pearson M.ed., Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERYL PEARSON M.ED., LADC (NPI 1750748984) is an individual addiction (substance use disorder) provider in Mangum, Oklahoma, licensed in Oklahoma (16) and active in the NPI registry since January 2016.
NPPES Registry Identity
NPI1750748984
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTERYL PEARSONCredential: M.ED., LADC
Location Address2 WICKERSHAM DR., NEW HOPE RECOVERY CENTERMangum, OK 73554
Mailing Address2 Wickersham Dr., New Hope Recovery CenterMangum, OK 73554 · (580) 782-3337
Phone(580) 782-3337
Sole ProprietorNo
Enumeration DateJanuary 19, 2016
✔ NPI 1750748984 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
License✔ Licensed in OK · 16
2 WICKERSHAM DR., Mangum, OK 73554
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750748984, enumerated as an "individual" on January 19, 2016.
The provider is located at 2 WICKERSHAM DR. NEW HOPE RECOVERY CENTER MANGUM, OK 73554 and the phone number is (580) 782-3337.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
