Individual provider · Type 1 NPI

Shannon Deserae Nick

Mental Health Counselor · Oklahoma City, OK

NPI number 1487893871 Active

Practice location

105 SE 45th St
Oklahoma City, OK 73129-3201

Call (405) 632-1900 Map

Fax (405) 632-1976

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487893871

Shannon Deserae Nick's National Provider Identifier is 1487893871, issued on Feb 10, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 10, 2009.