Individual
LINDA L BUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,L.P.C.
Contact information
Practice address
15 E DEWEY AVE, SAPULPA, OK 74066-4201
(918) 227-1135
(918) 227-1135
Mailing address
6919 E 92ND ST, TULSA, OK 74133-5319
(918) 481-0685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2261
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56130
—
OK
Enumeration date
11/04/2006
Last updated
07/09/2007
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