Individual
GENEVIEVE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3838 NW 36TH ST STE 200, OKLAHOMA CITY, OK 73112-2916
(405) 702-9032
(405) 702-9031
Mailing address
748 DANA DR, YUKON, OK 73099-1049
(904) 338-2176
(405) 702-9031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4579
OK
Other
Enumeration date
05/05/2015
Last updated
03/17/2018
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