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NPI Code Detail

MEDICARE: SHERRIE LANETTE DUNN LPC CANDIDATE

MEDICARE:   SHERRIE LANETTE DUNN  LPC CANDIDATE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC UNDER SUPERVISIOOK

General Provider Information

NPI Number : 1427268606
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRIE LANETTE DUNN LPC CANDIDATE
Provider Business Mailing Address
First Line : 7412 NW 30TH TER
Second Line :
City : BETHANY
State : OK
Zip : 73008-3702
Country : US
Telephone Number : 405-414-9744
Fax Number :
Provider Business Practice Location Address
First Line : 1209 SOVEREIGN ROW
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73108-1824
Country : US
Telephone Number : 405-942-5570
Fax Number : 405-942-5603
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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Directions to “ SHERRIE LANETTE DUNN LPC CANDIDATE” Practice Location

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