Most Relevant Information
Provider Data
| NPI Number: | 1003570599 |
| Provider Name: | DILLON SMITH LPC CANDIDATE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/29/2021 |
| Last Updated: | 01/17/2022 |
Provider Practice Location
12412 CHASE END CT
OKLAHOMA CITY
OK
731424803
Practice Location Phone/Fax
| Phone: | 4056932746 |
| Fax: |
Provider Mailing Location
12412 CHASE END CT
OKLAHOMA CITY
OK
731424803
Provider Mailing Phone/Fax
| Phone: | 4056932746 |
| Fax: |