Jessica Marie Anderson, LPC/LADC CANDIDATE

NPI #1215212170 in Mooreland, Oklahoma

Provider Information

NPI Number: 1215212170
Entity Type: Individual
Name: Jessica Marie Anderson, LPC/LADC CANDIDATE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC/LADC CANDIDATE
Enumeration Date: Oct 11, 2011
Last Updated: Oct 11, 2011

Practice Location

Address: 1601 WILKIE RD
City: Mooreland
State: Oklahoma
ZIP Code: 73852-8921
Phone: (580) 994-5649

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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