Individual
LANDA CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., M.ED., LPC CAN
Contact information
Practice address
111 S MAIN ST, MCALESTER, OK 74501-5303
(918) 423-5204
Mailing address
111 S MAIN ST, MCALESTER, OK 74501-5303
(918) 423-5204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200305190B
—
OK
Enumeration date
03/27/2012
Last updated
09/10/2013
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