Dreadfulwater, Shannon
Dreadfulwater, Shannon is an sole proprietor health care provider with primary practice located at 1140 Mayberry Dr , Tahlequah OK 74464-4603. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Dreadfulwater, Shannon can be contacted via phone (918) 453-1108.Contact Information
Primary practice address
1140 Mayberry Dr
Tahlequah OK 74464-4603
Phone: (918) 453-1108
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1689987059 |
|---|---|
| LBN Legal business name | Dreadfulwater, Shannon |
| Credentials | LPC-CANDIDATE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2010 |
| Last updated | Jul 14th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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