Individual
RITA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, LADC
Contact information
Practice address
807 SW F AVE, LAWTON, OK 73501-4506
(580) 595-7000
(580) 595-7005
Mailing address
7709 NW CHESLEY DR, LAWTON, OK 73505-4153
(580) 284-3911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
483
OK
101YP2500X
Professional Counselor
Primary
3153
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100747400B
—
OK
Enumeration date
07/17/2009
Last updated
03/10/2010
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