Individual
MS. JEANETTE D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2129 SW 59TH ST, OKLAHOMA CITY, OK 73119
(405) 713-4855
(405) 681-9081
Mailing address
PO BOX 720457, NORMAN, OK 73070-4336
(580) 993-0001
(405) 681-9081
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2300
OK
Other
Enumeration date
07/20/2006
Last updated
06/07/2018
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