Individual
MS. DANA K FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12203 E 82ND PL N, OWASSO, OK 74055-6213
(772) 584-0464
Mailing address
12203 E 82ND PL N, OWASSO, OK 74055-6213
(772) 584-0464
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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