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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHANNON DREADFULWATER, LPC

Active Sole Proprietor

MRS. SHANNON DREADFULWATER, LPC is a Professional Counselor healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1689987059 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · TAHLEQUAH, OK

Registration Details

NPI Number
1689987059
Provider Type
Individual
Gender
Female
NPI Issued
Jul 14, 2010 (16.063504680293 yrs)
Last Updated
Oct 17, 2024
License
4733 (OK)
Sole Proprietor
Yes

Practice Information

Address
315 N COLLEGE AVE
TAHLEQUAH, OK, 744642703
Browse OK providers · Browse ZIP 74464
Phone
9184531171
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in TAHLEQUAH, OK

Name Credential NPI
MRS. MICHELLE LYNN SCROGGINS LPC, CADC 1457489007
MARK L TAYLOR MS LPC NCC NCPC 1295852887
CHRIS WOFFORD 1922203355
J.J. MORONEY 1306041736
KENNETH JOHNSON 1275738692
KATHY GAMBLIN 1902001324
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.