Individual
CHI-ELLA MARIE DILLINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 NE 10TH ST, B106, MIDWEST CITY, OK 73110-3600
(405) 736-0056
(405) 736-0057
Mailing address
2208 FELIX PL APT 230, MIDWEST CITY, OK 73110-4678
(405) 822-2031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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