Provider Demographics
NPI:1841483088
Name:DOTTS, SHERRY ANN (MS, LPC, NCC)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:ANN
Last Name:DOTTS
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111B N BROADWAY ST
Mailing Address - Street 2:NONE
Mailing Address - City:POTEAU
Mailing Address - State:OK
Mailing Address - Zip Code:74953-2609
Mailing Address - Country:US
Mailing Address - Phone:918-647-2262
Mailing Address - Fax:918-647-2282
Practice Address - Street 1:1007 N BROADWAY ST
Practice Address - Street 2:NONE
Practice Address - City:POTEAU
Practice Address - State:OK
Practice Address - Zip Code:74953-2609
Practice Address - Country:US
Practice Address - Phone:918-647-2262
Practice Address - Fax:918-647-2282
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1926101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health