Susan L Canup, LPC, LADC Valid NPI
Individual provider · Mental Health Counselor · Ada, OK
- NPI
- 1508113739
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 2241 (OK)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-08-07
- Last updated
- 2015-06-19
Practice location
730 E Main St, Suite 105
Ada, OK 74820-5614
(580) 272-3962