Individual
LINDA JOYCE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501
(918) 426-7800
(918) 426-6760
Mailing address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 426-7800
(918) 426-6760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1257
OK
101YP2500X
Professional Counselor
1257
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100734620B
—
OK
05
—
100734620D
—
OK
Enumeration date
01/30/2008
Last updated
06/12/2008
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