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Individual

MS. JUDY LYNNE PARKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,LBP,LADC

Contact information

Practice address
124 S BROADWAY AVE, SUITE 408, ADA, OK 74820-5807
(580) 332-8773
(580) 332-8774
Mailing address
124 S BROADWAY AVE, SUITE 408, ADA, OK 74820-5807
(580) 332-8773
(580) 332-8774

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
513
OK
101YP2500X
Professional Counselor
Primary
0006
OK

Other

Enumeration date
06/06/2007
Last updated
11/09/2009
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