Individual
ALISHA SUZANNE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LADC-MH
Contact information
Practice address
2465 N WHISENANT DR STE 301, DUNCAN, OK 73533-0903
(580) 818-4017
Mailing address
1315 W PINE AVE, DUNCAN, OK 73533-4263
(580) 818-4017
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1453
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/23/2017
Last updated
08/22/2023
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