Individual
MRS. AMY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED LPC, LADC
Contact information
Practice address
2506 N REDLANDS RD, STILLWATER, OK 74075-2044
(405) 213-7376
Mailing address
2506 N REDLANDS RD, STILLWATER, OK 74075-2044
(405) 213-7376
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
5332
OK
Other
Enumeration date
08/27/2012
Last updated
02/13/2024
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