Individual
MRS. DOROTHEA SHAUNA HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
(918) 567-3917
Mailing address
1 CHOCTAW WAY, TALIHINA, OK 74571-2022
(918) 567-7000
(918) 567-3917
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5533
OK
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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