Individual
NATHANIEL DASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
2 WICKERSHAM ST, MANGUM, OK 73554-9117
(580) 782-3337
(580) 782-3338
Mailing address
710 E SUTHERLAND ST, ALTUS, OK 73521-4041
(580) 477-2871
(580) 477-4870
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
145
OK
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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