person
Ebony Iman Dallas, MFA
Mental Health Counselor in Edmond, Oklahoma
NPI 1184987554

Ebony Iman Dallas is a Mental Health Counselor based in Edmond, OK and is specialized in Mental Health. Ebony Iman Dallas practices in Edmond, OK and has the professional credentials of MFA. The NPI Number for Ebony Iman Dallas is 1184987554 and holds a License No. (Oklahoma).

The current practice location address for Ebony Iman Dallas is 1920 Fountain Vw, Edmond, OK and can be reached out via phone at 405-514-5239.

Location: 1920 Fountain Vw, Edmond, OK, 73013-2618
person
Provider Profile Details
NPI Number
1184987554
Provider Name
Ebony Iman Dallas
Credential
MFA
Provider Entity Type
Individual
Gender
Female
Address
1920 Fountain Vw, Edmond, OK, 73013-2618
Phone Number
405-514-5239
Fax Number
Provider Enumeration Date
06/20/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1920 Fountain Vw
City
State
Zip
73013-2618
Phone Number
405-514-5239
Fax Number
person
Provider Business Mailing Address Details
Address
1920 Fountain Vw
City
State
Zip
73013-2618
Phone Number
405-514-5239
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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