Individual
MS. JOY ALICE WAHNEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LADC
Contact information
Practice address
1020 LENAPE DRIVE, NOWATA, OK 74048
(918) 273-7555
Mailing address
1020 LENAPE DRIVE, NOWATA, OK 74048
(918) 273-7555
(918) 273-3451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
429
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
429
OKLA BOARD OF LICENSED AL
OK
Enumeration date
03/31/2008
Last updated
03/31/2008
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