Provider Demographics
NPI:1285375972
Name:SHANNON DUKES, LPC, PLLC
Entity type:Organization
Organization Name:SHANNON DUKES, LPC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:DUKES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:405-615-4464
Mailing Address - Street 1:1310 DUSTIN DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-4881
Mailing Address - Country:US
Mailing Address - Phone:405-615-4464
Mailing Address - Fax:405-873-7519
Practice Address - Street 1:1310 DUSTIN DR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-4881
Practice Address - Country:US
Practice Address - Phone:405-615-4464
Practice Address - Fax:405-873-7519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty