Individual provider · Type 1 NPI

Edith Maria Leerdam

Counselor · Broken Arrow, OK

NPI number 1396012357 Active

Practice location

1217 W Knoxville St
Broken Arrow, OK 74012-8434

Call (918) 258-1857 Map

Fax (918) 258-6987

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1396012357

Edith Maria Leerdam's National Provider Identifier is 1396012357, issued on Nov 18, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Nov 18, 2011.