Provider Demographics
NPI:1194071852
Name:DIGGS, DA'JON SHALAE (BA IN PSYCHOLOGY)
Entity type:Individual
Prefix:
First Name:DA'JON
Middle Name:SHALAE
Last Name:DIGGS
Suffix:
Gender:F
Credentials:BA IN PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1513 NE 34TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73111-4801
Mailing Address - Country:US
Mailing Address - Phone:405-408-5280
Mailing Address - Fax:
Practice Address - Street 1:1301 N MARTIN LUTHER KING AVE
Practice Address - Street 2:STE#101
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117-4235
Practice Address - Country:US
Practice Address - Phone:405-424-0007
Practice Address - Fax:405-424-6507
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health