Individual
MR. DENNIS DALE WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MACJ, LADC, ICAADC
Contact information
Practice address
104 N.E. AVENUE A, IDABEL, OK 74745
(580) 212-9175
(580) 286-6385
Mailing address
PO BOX 555, IDABEL, OK 74745-0555
(580) 212-9175
(580) 286-6385
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
72
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0955461203
CAADC
OK
01
—
685
ICAADC
OK
01
—
72
LICENSED ALCOHOL AND DRUG
OK
Enumeration date
03/28/2007
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us