Individual
LAUREN AMANDA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CADC-U/S
Contact information
Practice address
5001 S 28TH WEST AVE, TULSA, OK 74107-7637
(918) 902-7364
Mailing address
5001 S 28TH WEST AVE, TULSA, OK 74107-7637
(918) 902-7364
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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