Individual
LYDIA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., C.A.D.C.
Contact information
Practice address
3115 E. ARLINGTON BLVD., HEALTHY LIFESTYLES, ADA, OK 74820
(580) 332-6345
(580) 421-7724
Mailing address
210 E MAIN, RESOURCE MANAGEMENT, ADA, OK 74820
(580) 436-7211
(580) 272-5757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
201
OK
Other
Enumeration date
07/03/2014
Last updated
11/17/2016
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