Provider Demographics
NPI:1760633655
Name:DRIGGS, SHERRY DAWN (LPC)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:DAWN
Last Name:DRIGGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6307 WATERFORD BLVD
Mailing Address - Street 2:STE 127
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-1125
Mailing Address - Country:US
Mailing Address - Phone:405-778-1847
Mailing Address - Fax:888-742-7095
Practice Address - Street 1:6307 WATERFORD BLVD
Practice Address - Street 2:STE 127
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-1125
Practice Address - Country:US
Practice Address - Phone:405-778-1847
Practice Address - Fax:888-742-7095
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-09
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1816101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200232130AMedicaid