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Viola Dallas, LADCUNDERSUPERVISI
Counselor in Edmond, Oklahoma
NPI 1598092819

Viola Dallas is a Counselor based in Edmond, OK. Viola Dallas practices in Edmond, OK and has the professional credentials of LADCUNDERSUPERVISI. The NPI Number for Viola Dallas is 1598092819 and holds a License No. (Oklahoma).

The current practice location address for Viola Dallas is 920 S Boulevard, Edmond, OK and can be reached out via phone at 405-406-4803.

Location: 920 S Boulevard, Edmond, OK, 73034-4731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598092819
Provider Name
Viola Dallas
Credential
LADCUNDERSUPERVISI
Provider Entity Type
Individual
Gender
Female
Address
920 S Boulevard, Edmond, OK, 73034-4731
Phone Number
405-406-4803
Fax Number
Provider Enumeration Date
11/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
920 S Boulevard
City
Edmond
State
Oklahoma
Zip
73034-4731
Phone Number
405-406-4803
Fax Number
person
Provider Business Mailing Address Details
Address
920 S Boulevard
City
Edmond
State
Oklahoma
Zip
73034-4731
Phone Number
405-406-4803
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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