Individual
MR. DEON DUPREE WHITESIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., LPC
Contact information
Practice address
1108 SW 30TH CT STE B, MOORE, OK 73160-2888
(405) 378-2727
Mailing address
1108 SW 30TH CT STE B, MOORE, OK 73160-2888
(405) 378-2727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
J083159599
OK
101YM0800X
Mental Health Counselor
Primary
LPC05915
OK
101YP2500X
Professional Counselor
LPC05915
OK
Other
Enumeration date
08/03/2010
Last updated
12/27/2024
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