Individual provider · Type 1 NPI

Diana Dayl Wooldridge, MHR

Addiction (Substance Use Disorder) Counselor · Tulsa, OK

NPI number 1467769851 Active

Practice location

5550 S Garnett Rd Ste 200, 5550 S Garnett, Suite 200
Tulsa, OK 74146-6830

Call (918) 665-2501 Map

Fax (918) 665-2501

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1467769851

Diana Dayl Wooldridge, MHR's National Provider Identifier is 1467769851, issued on Sep 7, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tulsa, OK. The record was last updated on Mar 2, 2012.