| Doctor Name: | MISS SHANNA MICHELLE RICE |
| NPI Number: | 1225313521 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MHR |
| License Number: | 1252 |
| Business Practice Address: | 198 East Almar Drive Chickasha, OK - 73018 |
| Business Phone Number: | 4052225437 |
| Business Fax Number: | 4052225452 |
| Mailing Address: | 3020 Alli Cir, CHICKASHA |
| State: | OK |
| Postal Code: | 730187331 |
| Phone Number: | 4053200050 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2011 |
| NPI Last Update Date: | 05/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1252 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |