Individual
SHANNON TREAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1001 N COUNTRY CLUB RD, ADA, OK 74820-2847
(580) 421-4570
(580) 421-6283
Mailing address
1001 N COUNTRY CLUB RD, ADA, OK 74820-2847
(580) 421-4570
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00043914
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00043914
CRC 00043914
OK
Enumeration date
12/30/2008
Last updated
12/30/2008
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