Individual provider · Type 1 NPI

Rickey Dean Short, LADC

Addiction (Substance Use Disorder) Counselor · Norman, OK

NPI number 1487950788 Active

Practice location

3750 W Main St, Suite 206
Norman, OK 73072-4657

Call (405) 447-8519 Map

Fax (405) 447-0739

Mailing address

4105 Quail Dr
Norman, OK 73072-4518

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X94 (OK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1487950788

Rickey Dean Short, LADC's National Provider Identifier is 1487950788, issued on Feb 3, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Norman, OK. The record was last updated on Feb 3, 2011.