Individual
MRS. KRISTEN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1008 24TH AVE NW, NORMAN, OK 73069-6369
(405) 310-3262
(405) 876-6364
Mailing address
3016 SHIRLEY LN, OKLAHOMA CITY, OK 73116-3122
(405) 568-1440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10815
OK
101YP2500X
Professional Counselor
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200929180A
—
OK
Enumeration date
08/31/2020
Last updated
06/13/2022
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