Individual provider · Type 1 NPI

Jessica Marie Anderson, LPC/LADC CANDIDATE

Mental Health Counselor · Mooreland, OK

NPI number 1215212170 Active

Practice location

1601 Wilkie Rd
Mooreland, OK 73852-8921

Fax (580) 994-2739

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X64 (OK)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1215212170

Jessica Marie Anderson, LPC/LADC CANDIDATE's National Provider Identifier is 1215212170, issued on Oct 11, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mooreland, OK. The record was last updated on Oct 11, 2011.