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Miss Renee Shanna Dougherty
Mental Health Counselor in Ardmore, Oklahoma
NPI 1174864847

Renee Shanna Dougherty is a Mental Health Counselor based in Ardmore, OK and is specialized in Mental Health. Renee Shanna Dougherty practices in Ardmore, OK. The NPI Number for Renee Shanna Dougherty is 1174864847 and holds a License No. 171M00000X (Oklahoma).

The current practice location address for Renee Shanna Dougherty is 2530 S Commerce St, Ardmore, OK and can be reached out via phone at 580-223-2537.

Location: 2530 S Commerce St, Ardmore, OK, 73401-5519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174864847
Provider Name
Renee Shanna Dougherty
Credential
Provider Entity Type
Individual
Gender
Female
Address
2530 S Commerce St, Ardmore, OK, 73401-5519
Phone Number
580-223-2537
Fax Number
Provider Enumeration Date
03/06/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2530 S Commerce St
City
Ardmore
State
Oklahoma
Zip
73401-5519
Phone Number
580-223-2537
Fax Number
person
Provider Business Mailing Address Details
Address
2530 S Commerce St
City
Ardmore
State
Oklahoma
Zip
73401-5519
Phone Number
580-223-2537
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
171M00000X (Oklahoma)
Definition
Definition to come...
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