Individual
MRS. DACIA RAYN NOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
408 SE 5TH ST, PRYOR, OK 74361-6219
(918) 269-6745
Mailing address
408 SE 5TH ST, PRYOR, OK 74361-6219
(918) 269-6745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
1538881347
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05181996
SELF
OK
Enumeration date
09/19/2022
Last updated
05/11/2026
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