Individual
MS. LINDA SUE LANNOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
(918) 663-0203
Mailing address
4726 E MARSHALL ST, TULSA, OK 74115-5260
(918) 838-2309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
167
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
648
ADSAC ASSESSOR
OK
Enumeration date
05/04/2007
Last updated
07/08/2007
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