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Alisha Tanille Drain
Mental Health Counselor in Stilwell, Oklahoma
NPI 1164813960

Alisha Tanille Drain is a Mental Health Counselor based in Stilwell, OK and is specialized in Mental Health. Alisha Tanille Drain practices in Stilwell, OK. The NPI Number for Alisha Tanille Drain is 1164813960 and holds a License No. (Oklahoma).

The current practice location address for Alisha Tanille Drain is 110 W Maple St, Stilwell, OK and can be reached out via phone at 918-575-0996.

Location: 110 W Maple St, Stilwell, OK, 74960
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164813960
Provider Name
Alisha Tanille Drain
Credential
Provider Entity Type
Individual
Gender
Female
Address
110 W Maple St, Stilwell, OK, 74960
Phone Number
918-575-0996
Fax Number
Provider Enumeration Date
02/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 W Maple St
City
Stilwell
State
Oklahoma
Zip
74960-3100
Phone Number
918-575-0996
Fax Number
person
Provider Business Mailing Address Details
Address
110 W Maple St
City
Stilwell
State
Oklahoma
Zip
74960-3100
Phone Number
918-575-0996
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
10416 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Oklahoma)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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