Search › Oklahoma › Clinical Social Worker
Ethan Randall
NPI 1508526773 · on the registry since 2021 · sole proprietor
Practice
- Address
- 308 E Downing St
Tahlequah, OK 74464 - Phone
- (918) 931-3995
- Organisation at this address
- Improving Lives Counseling Services, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 217 N Water Ave, Tahlequah, OK
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma