Individual
MATTHEW ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 NE 13TH ST, OKLAHOMA CITY, OK 73117-1039
(405) 271-5700
(405) 271-8835
Mailing address
2601 NW 118TH ST, OKLAHOMA CITY, OK 73120-7002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/01/2010
Last updated
03/04/2011
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