Individual
MS. CHERRY DIENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2517 NW 62ND ST APT 44, OKLAHOMA CITY, OK 73112-7184
(405) 760-5291
Mailing address
2517 NW 62ND ST APT 44, OKLAHOMA CITY, OK 73112-7184
(405) 760-5291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1355
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
03/24/2021
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