Individual
SHANI NEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3433 COBBLESTONE DR, SPENCER, OK 73084-3257
(405) 476-2722
(866) 422-5922
Mailing address
3433 COBBLESTONE DR, SPENCER, OK 73084-3257
(405) 476-2722
(866) 422-5922
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/02/2012
Last updated
08/25/2015
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