Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raven Jacinda Wall, CADCUNDERSUPERVISI

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1457524027

Raven Jacinda Wall, CADCUNDERSUPERVISI is an Addiction (Substance Use Disorder) Counselor in Norman, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008

Practice location Address checks out

2920 Chautauqua Ave Apt 38
Norman, OK 73072-7736
Phone: (405) 528-8686
Fax: (405) 528-8692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (OK)

Record details

NPI number1457524027
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADCUNDERSUPERVISI
Sole proprietorNo
NPI enumeratedApril 3, 2008
Last updated in NPPESApril 3, 2008

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