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NPI Code Detail

MEDICARE: DENA PARKER

MEDICARE:   DENA  PARKER
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
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1477879682
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENA PARKER
Provider Business Mailing Address
First Line : 6957 NW EXPRESSWAY
Second Line : #125
City : OKLAHOMA CITY
State : OK
Zip : 73132-3533
Country : US
Telephone Number : 405-208-9933
Fax Number :
Provider Business Practice Location Address
First Line : 6957 NW EXPRESSWAY
Second Line : #125
City : OKLAHOMA CITY
State : OK
Zip : 73132-3533
Country : US
Telephone Number : 405-208-9933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2010
Last Update Date : 04/13/2010

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Directions to “ DENA PARKER ” Practice Location

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