Individual
SHANAN CONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCSP
Contact information
Practice address
3730 OPEN RANGE ST, ENID, OK 73703-7348
(972) 302-4358
Mailing address
3730 OPEN RANGE ST, ENID, OK 73703-7348
(972) 302-4358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10388
OK
101YP2500X
Professional Counselor
Primary
10388
OK
103TS0200X
School Psychologist
66013
OK
Other
Enumeration date
04/24/2017
Last updated
04/02/2026
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