Individual
LAUREN VANDERLOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7908 NORTHWEST 23RD ST, BETHANY, OK 73008
(405) 440-1006
(405) 440-1007
Mailing address
7908 NORTHWEST 23RD ST, BETHANY, OK 73008
(405) 440-1006
(405) 440-1007
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/22/2011
Last updated
03/08/2017
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