Lisa Van Triest-Peaden Lcsw, Inc., P.c.

NPI #1508036906 in Ada, Oklahoma

Provider Information

NPI Number: 1508036906
Entity Type: Organization
Organization Name: Lisa Van Triest-Peaden Lcsw, Inc., P.c.
Primary Specialty: Community/Behavioral Health
Enumeration Date: Mar 3, 2008
Last Updated: Dec 22, 2008

Practice Location

Address: 2100 N BROADWAY AVE
City: Ada
State: Oklahoma
ZIP Code: 74820-1048
Phone: (580) 436-7120

Authorized Official

Name: MRS. LISA VAN TRIEST-PEADEN, MSW,LCSW
Title: PRESIDENT
Phone: (580) 436-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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