Individual
ANDREA VANGORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC, LPC, LMFT
Contact information
Practice address
910 SW E AVE, LAWTON, OK 73501-4593
(405) 586-3726
Mailing address
PO BOX 3154, LAWTON, OK 73502-3154
(405) 586-3726
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6411
OK
106H00000X
Marriage & Family Therapist
1295
OK
Other
Enumeration date
07/21/2015
Last updated
03/14/2019
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