MS. Leona Lillian Tanner, LADC

NPI #1922331586 in Bristow, Oklahoma

Provider Information

NPI Number: 1922331586
Entity Type: Individual
Name: MS. Leona Lillian Tanner, LADC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LADC
Enumeration Date: Sep 15, 2009
Last Updated: Dec 30, 2013

Practice Location

Address: 109 N MAIN ST
City: Bristow
State: Oklahoma
ZIP Code: 74010-2429
Phone: (918) 367-1114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Counselor	225C00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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