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Individual

MRS. VICKI ORSBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA, CADC

Contact information

Practice address
230 E 12TH ST, ADA, OK 74820-6508
(580) 399-2272
(580) 332-3652
Mailing address
704 N OAK AVE, ROOM 20-21, ADA, OK 74820-3267
(580) 332-3001
(580) 332-3652

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
191
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
03/21/2007
Last updated
07/31/2024
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