Provider Demographics
NPI:1871230722
Name:FARRIELL, DANA DARLENE (MASTERS COUNSELING)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:DARLENE
Last Name:FARRIELL
Suffix:
Gender:F
Credentials:MASTERS COUNSELING
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45652 HIGHWAY 59
Mailing Address - Street 2:
Mailing Address - City:ASHER
Mailing Address - State:OK
Mailing Address - Zip Code:74826-2710
Mailing Address - Country:US
Mailing Address - Phone:405-617-5420
Mailing Address - Fax:
Practice Address - Street 1:429 N UNION AVE
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74801-7064
Practice Address - Country:US
Practice Address - Phone:405-275-1844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator