Jessica Marie Anderson, LPC/LADC CANDIDATE Valid NPI
Individual provider · Mental Health Counselor · Mooreland, OK
- NPI
- 1215212170
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 64 (OK)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-10-11
- Last updated
- 2011-10-11
Practice location
1601 Wilkie Rd
Mooreland, OK 73852-8921
(580) 994-5649