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Individual

BRIAN EDWARD ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LPC

Contact information

Practice address
3001 E MEMORIAL RD, EDMOND, OK 73013-7107
(405) 210-4596
Mailing address
8108 RIDGE CREEK RD, EDMOND, OK 73034-4472
(405) 210-4596

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC07694
OK

Other

Enumeration date
06/18/2015
Last updated
11/28/2023
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