Individual provider · Type 1 NPI
Dennis Dale Whitten, MACJ, LADC, ICAADC
Addiction (Substance Use Disorder) Counselor · Idabel, OK
NPI number
1184743502
Active
Practice location
104 N.e. Avenue A
Idabel, OK 74745
Fax (580) 286-6385
Mailing address
PO Box 555
Idabel, OK 74745-0555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 72 (OK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Terry Eugene Wallace, CADCAddiction (Substance Use Disorder) Counselor Idabel, OK NPI 1831304922
- Cecil Osterdock, BA, BHRS, CMAddiction (Substance Use Disorder) Counselor Idabel, OK NPI 1912206988
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About NPI 1184743502
Dennis Dale Whitten, MACJ, LADC, ICAADC's National Provider Identifier is 1184743502, issued on Mar 28, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Idabel, OK. The record was last updated on Jul 8, 2007.