Individual
ZACHARY DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 W ROCK CREEK LOOP, TISHOMINGO, OK 73460-4433
(580) 371-6919
Mailing address
5601 W ROCK CREEK LOOP, TISHOMINGO, OK 73460-4433
(580) 371-6919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/16/2016
Last updated
11/08/2021
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