Individual
DAYNA NATASHA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FSP
Contact information
Practice address
411 S CENTRAL AVE, IDABEL, OK 74745-6059
(580) 286-5045
(580) 286-5721
Mailing address
PO BOX 250, HUGO, OK 74743-0250
(580) 326-7531
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
174H00000X
Health Educator
—
OK
175T00000X
Peer Specialist
Primary
1184197626
OK
Other
Enumeration date
01/08/2019
Last updated
12/08/2022
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