Individual provider · Type 1 NPI
Leona Lillian Tanner, LADC
Addiction (Substance Use Disorder) Counselor · Bristow, OK
NPI number
1922331586
Active
Practice location
109 N Main St
Bristow, OK 74010-2429
Fax (918) 367-1115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Counselor | 225C00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1095 (OK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1922331586
Leona Lillian Tanner, LADC's National Provider Identifier is 1922331586, issued on Sep 15, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bristow, OK. The record was last updated on Dec 30, 2013.