| Shannon Dukes, Lpc, Pllc | |
|
1310 Dustin Dr Norman OK 73071-4881 | |
| (405) 615-4464 | |
| (405) 873-7519 |
| Full Name | Shannon Dukes, Lpc, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 1310 Dustin Dr, Norman, Oklahoma |
| Authorized Official Name and Position | Shannon Dukes (OWNER) |
| Authorized Official Contact | 4056154464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Dukes, Lpc, Pllc 1310 Dustin Dr Norman OK 73071-4881 Ph: (405) 615-4464 | Shannon Dukes, Lpc, Pllc 1310 Dustin Dr Norman OK 73071-4881 Ph: (405) 615-4464 |
| NPI Number | 1285375972 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 4183072408 |
|---|---|
| Medicare Enrollment ID | O20231128001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285375972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Shannon M. M. Dukes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841487162 PECOS PAC ID: 5092163311 Enrollment ID: I20231128001431 |
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