Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1013012285 |
---|---|
Provider Name | Mrs. Linda Ruth Lokey |
First Address | Sapulpa, OK 74066-6423 |
Second Address | Sapulpa, OK 74066-6423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 02/02/2012 |