Individual
LANAS LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202639 E. COUNTY ROAD 42, WOODWARD, OK 73801-5442
(580) 254-5322
(580) 254-5335
Mailing address
202639 E. COUNTY ROAD 42, WOODWARD, OK 73801-5442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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