Doctor Name: | REBECCA DUGAN |
NPI Number: | 1114253655 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3871 |
Business Practice Address: | 23 E Choctaw Ave Ste 3 Mcalester, OK - 745015098 |
Business Phone Number: | 9184205006 |
Business Fax Number: | |
Mailing Address: | Po Box 691, QUINTON |
State: | OK |
Postal Code: | 745610691 |
Phone Number: | 9186172242 |
Fax Number: | |
NPI Enumeration Date: | 10/18/2009 |
NPI Last Update Date: | 09/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |