Individual
MRS. DEANNA F. DENSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC-MH
Contact information
Practice address
112 MCKINLEY AVE, CHANDLER, OK 74834-1622
(405) 424-7711
Mailing address
PO BOX 55, DEPEW, OK 74028-0055
(918) 549-1605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1307
OK
171M00000X
Case Manager/Care Coordinator
9349
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9349
CERTIFIED CASE MGR
OK
Enumeration date
05/15/2007
Last updated
09/30/2022
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