Individual
ALISHA TANILLE DRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W MAPLE ST, STILWELL, OK 74960-3100
(918) 575-0996
Mailing address
110 W MAPLE ST, STILWELL, OK 74960
(918) 575-0996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10416
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
02/16/2015
Last updated
07/24/2023
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