Individual
LINDA HENDERSHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5208 CLASSEN CIR, OKLAHOMA CITY, OK 73118-4429
(405) 810-1766
Mailing address
15405 SUGAR LOAF DR, EDMOND, OK 73013-9217
(405) 397-9744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1276
OK
Other
Enumeration date
06/20/2007
Last updated
12/11/2020
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