Individual provider · Type 1 NPI

Laura Suzanna Yandricha, CADC

Addiction (Substance Use Disorder) Counselor · Choctaw, OK

NPI number 1154560753 Active

Practice location

14625 NE 23rd St
Choctaw, OK 73020-8728

Fax (405) 601-0324

Mailing address

PO Box 695
Choctaw, OK 73020-0695

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNA (MH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154560753

Laura Suzanna Yandricha, CADC's National Provider Identifier is 1154560753, issued on Feb 5, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Choctaw, OK. The record was last updated on Feb 5, 2009.