Individual
DR. SHANNON NICOLE DIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1921 STONECIPHER BLVD., CHICKASAW NATION MEDICAL CENTER, ADA, OK 74820
(806) 793-6160
Mailing address
CHICKASAW NATION MEDICAL CENTER, 1921 STONECIPHER BLVD., ADA, OK 74820
(580) 436-3980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
1175
OK
106H00000X
Marriage & Family Therapist
201371
TX
Other
Enumeration date
12/11/2006
Last updated
09/19/2018
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