Individual
MRS. MISHELLE DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC CANDIDATE
Contact information
Practice address
9613 SW 18TH ST, OKLAHOMA CITY, OK 73128-3002
(580) 402-0298
Mailing address
9613 SW 18TH ST, OKLAHOMA CITY, OK 73128-3002
(580) 402-0298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/16/2018
Last updated
03/24/2022
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