Individual
CAROL JEAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHR, LPC
Contact information
Practice address
5350 S WESTERN AVE, SUITE 555, OKLAHOMA CITY, OK 73109-4520
(405) 631-4567
(405) 631-4593
Mailing address
PO BOX 1282, NORMAN, OK 73070-1282
(405) 694-9199
(405) 307-0333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
16677
TX
101YP2500X
Professional Counselor
Primary
2483
OK
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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