Individual
DANIEL WEIGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1405 N. 4TH AVENUE, PMB 4172, DURANT, OK 74701-0609
(580) 745-2632
Mailing address
1405 N. 4TH AVENUE, PMB 4172, DURANT, OK 74701-0609
(580) 745-2632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
211
OK
101YM0800X
Mental Health Counselor
3172
OK
101YP2500X
Professional Counselor
Primary
3172
OK
Other
Enumeration date
08/26/2012
Last updated
05/16/2013
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