NATHANIEL DASH CADC
NPI 1619094851
Counselor - Addiction (Substance Use Disorder) in Mangum, OK
Active since March 23, 2007
About Nathaniel Dash Cadc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHANIEL DASH CADC (NPI 1619094851) is an individual addiction (substance use disorder) provider in Mangum, Oklahoma, licensed in Oklahoma (145) and active in the NPI registry since March 2007.
NPPES Registry Identity
NPI1619094851
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameNATHANIEL DASHCredential: CADC
Location Address2 WICKERSHAM STMangum, OK 73554-9117
Mailing Address710 E Sutherland StAltus, OK 73521-4041 · (580) 477-2871 · Fax (580) 477-4870
Phone(580) 782-3337
Fax(580) 782-3338
Sole ProprietorNo
Enumeration DateMarch 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619094851 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OK · 145
2 WICKERSHAM ST, Mangum, OK 73554
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Substance Abuse Rehabilitation Facility
2 WICKERSHAM ST, 201 N. OKLAHOMA
MANGUM, OK 73554
MANGUM, OK 73554
Counselor (Addiction (Substance Use Disorder))
2 WICKERSHAM ST
MANGUM, OK 73554
MANGUM, OK 73554
Counselor (Addiction (Substance Use Disorder))
2 WICKERSHAM ST
MANGUM, OK 73554
MANGUM, OK 73554
Counselor (Addiction (Substance Use Disorder))
2 WICKERSHAM ST
MANGUM, OK 73554
MANGUM, OK 73554
Counselor (Addiction (Substance Use Disorder))
2 WICKERSHAM ST
MANGUM, OK 73554
MANGUM, OK 73554
Counselor (Addiction (Substance Use Disorder))
2 WICKERSHAM ST
MANGUM, OK 73554
MANGUM, OK 73554
Counselor (Addiction (Substance Use Disorder))
2 WICKERSHAM ST
MANGUM, OK 73554
MANGUM, OK 73554
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619094851, enumerated as an "individual" on March 23, 2007.
The provider is located at 2 WICKERSHAM ST MANGUM, OK 73554 and the phone number is (580) 782-3337.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
