Individual provider · Type 1 NPI
Tanner Payne Underwood, LADC/MH
Addiction (Substance Use Disorder) Counselor · Edmond, OK
NPI number
1326431990
Active
Practice location
1015 Waterwood Parkway, Building G, Suite H-1
Edmond, OK 73034
Mailing address
4733 Rosewood Ct
Noble, OK 73068-5522
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 1318 (OK) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1318 (OK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1326431990
Tanner Payne Underwood, LADC/MH's National Provider Identifier is 1326431990, issued on Mar 6, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Edmond, OK. The record was last updated on Nov 5, 2020.