Individual
MIA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
309 S ANN ARBOR AVE, OKLAHOMA CITY, OK 73128-1112
(405) 948-4900
Mailing address
309 S ANN ARBOR AVE, OKLAHOMA CITY, OK 73128-1112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2014
Last updated
08/01/2025
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