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MR. SHELLY J LARSON CADC
NPI 1891902409
Counselor - Addiction (Substance Use Disorder) in Mangum, OK

Active since May 16, 2007
2 WICKERSHAM ST, MANGUM, OK 73554(580) 782-3337(580) 782-3337 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shelly J Larson Cadc NPPES

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

MR. SHELLY J LARSON CADC (NPI 1891902409) is an individual addiction (substance use disorder) provider in Mangum, Oklahoma, licensed in Oklahoma (256) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1891902409
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMR. SHELLY J LARSONCredential: CADC
Location Address2 WICKERSHAM STMangum, OK 73554-9117
Mailing Address2 Wickersham StMangum, OK 73554-9117 · (580) 782-3337 · Fax (580) 782-3337
Phone(580) 782-3337
Fax(580) 782-3337
Sole ProprietorNo
Enumeration DateMay 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891902409 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 · 256
2 WICKERSHAM ST, Mangum, OK 73554
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY MARGARET BRAZIEL B.A.
Counselor (Addiction (Substance Use Disorder))
2 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3337
CHAD EVERETT SCOGGINS
Peer Specialist
2 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3337
NEW HOPE CDU LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3337
MR. KEITH D HUTTON BS
Counselor (Addiction (Substance Use Disorder))
2 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3337
BRYTON NEWTON NEWTON
Peer Specialist
2 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3337
MR. ROBERT ALBERT MILSTEAD B.S.
Counselor (Addiction (Substance Use Disorder))
2 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3337
MS. HALLA R POWERS CBHCM
Behavior Analyst
2 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3337
ELMER SHANE FOLSTER BSW
Counselor (Addiction (Substance Use Disorder))
2 WICKERSHAM ST
MANGUM, OK 73554
Greer County (580) 782-3337

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 Shelly Larson's NPI number?

The NPI number for Shelly Larson is 1891902409. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Shelly Larson located?

Shelly Larson practices at 2 Wickersham St, Mangum, OK 73554. The listed phone number is (580) 782-3337.

What is Shelly Larson'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 Shelly Larson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.