Individual
MS. DAWN MARIE KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, BHRS
Contact information
Practice address
1001 WEST MAIN STREET, MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA, DURANT, OK 74701
(580) 924-7330
(580) 924-2739
Mailing address
1001 WEST MAIN STREET, MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA, DURANT, OK 74701
(580) 924-7330
(580) 924-2739
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
M081325997
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427104546
DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES
OK
Enumeration date
08/27/2010
Last updated
08/27/2010
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