Individual
MISS SHANNA MICHELLE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHR
Contact information
Practice address
198 EAST ALMAR DRIVE, CHICKASHA, OK 73018
(405) 222-5437
(405) 222-5452
Mailing address
3020 ALLI CIR, CHICKASHA, OK 73018-7331
(405) 320-0050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1252
OK
Other
Enumeration date
10/18/2011
Last updated
05/19/2016
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