Individual
MRS. RACHEL LINDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
109 S MAIN ST, WETUMKA, OK 74883-4015
(405) 452-5400
(405) 452-3000
Mailing address
6950 E 143, SASAKWA, OK 74867-7603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
107
OK
101YP2500X
Professional Counselor
Primary
3218
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300522336
MEDICARE
OK
Enumeration date
07/26/2006
Last updated
12/09/2015
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