Lori Vanessa Andrews, LPC

Individual provider Active NPI Professional Counselor · Seminole, OK

NPI 1497738769 · NPPES record last updated May 9, 2019

Key facts

NPI
1497738769
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1742 (OK)
Practice address
400 Timmons St
Seminole, OK 74868-3163
Phone
(405) 382-2890
Fax
(405) 382-0078
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1742OKMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1742 OK Yes

Addresses

Primary practice location

400 Timmons St
Seminole, OK 74868-3163

Mailing address

PO Box 84
Seminole, OK 74818-0084
Phone (405) 382-2890

Other providers in Seminole, OK

All providers in Seminole, OK · Professional Counselor in Oklahoma

Sources for this page

Verify at the official NPI Registry.