Provider Demographics
NPI:1780904318
Name:MORRISON, CANDICE MICHELLE (MS)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:MICHELLE
Last Name:MORRISON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CANDICE
Other - Middle Name:MICHELLE
Other - Last Name:PURCELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:1402 N FLORENCE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-3159
Mailing Address - Country:US
Mailing Address - Phone:918-608-0380
Mailing Address - Fax:209-425-5727
Practice Address - Street 1:1222 N FLORENCE AVE STE A
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-4294
Practice Address - Country:US
Practice Address - Phone:918-619-3833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-05
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health