Individual
LINDA SUE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LPC
Contact information
Practice address
502 W RANDOLPH AVE, ENID, OK 73701-3828
(580) 233-8476
Mailing address
212 N 22ND ST, ENID, OK 73701-4622
(580) 233-8476
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
718
OK
101YP2500X
Professional Counselor
Primary
3687
OK
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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