person
Ms. Shanna Renell Willoughby
Addiction (Substance Use Disorder) Counselor in Valliant, Oklahoma
NPI 1437345105

Shanna Renell Willoughby is an Addiction (Substance Use Disorder) Counselor based in Garvin, OK and is specialized in Addiction (Substance Use Disorder). Shanna Renell Willoughby practices in Valliant, OK. The NPI Number for Shanna Renell Willoughby is 1437345105 and holds a License No. 20028 (Oklahoma).

The current practice location address for Shanna Renell Willoughby is 300 N Dalton St, Valliant, OK and can be reached out via phone at 580-286-5777 and via fax at 580-286-5132.

Location: 300 N Dalton St, Valliant, OK, 74736-9746
person
Provider Profile Details
NPI Number
1437345105
Provider Name
Shanna Renell Willoughby
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 N Dalton St, Valliant, OK, 74736-9746
Phone Number
580-286-5777
Fax Number
580-286-5132
Provider Enumeration Date
09/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 N Dalton St
City
State
Zip
74764
Phone Number
580-286-5777
Fax Number
580-286-5132
person
Provider Business Mailing Address Details
Address
300 N Dalton St
City
State
Zip
74764
Phone Number
580-286-5777
Fax Number
580-286-5132
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
20028 (Oklahoma)
Definition
Definition to come...
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