Individual
MISS LAURA SUZANNA YANDRICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
14625 NE 23RD ST, CHOCTAW, OK 73020-8728
(405) 390-8131
(405) 601-0324
Mailing address
PO BOX 695, CHOCTAW, OK 73020-0695
(405) 390-8131
(405) 601-0324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
NA
MH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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