Individual
MS. HEATHER SARESE DILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA IN PSYCHOLOGY
Contact information
Practice address
308 E JEFFERSON ST, HUGO, OK 74743-4406
(580) 326-7862
Mailing address
308 E JEFFERSON ST, HUGO, OK 74743-4406
(580) 326-7862
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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