Provider Demographics
NPI:1780997205
Name:TANNER, SUZANNE G (MS, LMFT CANDIDATE)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:G
Last Name:TANNER
Suffix:
Gender:F
Credentials:MS, LMFT CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 IOWA ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6846
Mailing Address - Country:US
Mailing Address - Phone:405-321-1788
Mailing Address - Fax:
Practice Address - Street 1:8901 S. SANTA FE, STE. E
Practice Address - Street 2:DAG COUNSELING SERVICES, PLLC
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139
Practice Address - Country:US
Practice Address - Phone:405-605-5757
Practice Address - Fax:405-605-5775
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor