Individual
HEATHER DORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC/MH
Contact information
Practice address
1625 GREENBRIAR PL STE 200, OKLAHOMA CITY, OK 73159-7645
(405) 365-9556
(405) 703-9354
Mailing address
1625 GREENBRIAR PL STE 200, OKLAHOMA CITY, OK 73159-7645
(405) 365-9556
(405) 703-9354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1279
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/18/2015
Last updated
03/25/2022
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