Provider Demographics
NPI:1417223819
Name:PALMER WHEATON, DENA K (CADC US)
Entity Type:Individual
Prefix:
First Name:DENA
Middle Name:K
Last Name:PALMER WHEATON
Suffix:
Gender:F
Credentials:CADC US
Other - Prefix:
Other - First Name:DENA
Other - Middle Name:K
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:32 E CHEROKEE AVE
Mailing Address - Street 2:
Mailing Address - City:MCALESTER
Mailing Address - State:OK
Mailing Address - Zip Code:74501-5323
Mailing Address - Country:US
Mailing Address - Phone:918-423-9400
Mailing Address - Fax:918-423-9400
Practice Address - Street 1:32 E CHEROKEE AVE
Practice Address - Street 2:
Practice Address - City:MCALESTER
Practice Address - State:OK
Practice Address - Zip Code:74501-5323
Practice Address - Country:US
Practice Address - Phone:918-423-9400
Practice Address - Fax:918-423-9400
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)