Individual
AMANDA VALGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 NTH 1ST ST, DURANT, OK 74701
(580) 931-3008
(580) 931-8022
Mailing address
PO BOX 274, CADDO, OK 74729
(580) 367-9901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049040
—
OK
Enumeration date
07/20/2011
Last updated
07/20/2011
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