Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 2239 | OK |
NPI | 1003127937 |
---|---|
Provider Name | Ms. Linda Jolane Scott |
First Address | Geary, OK 73040-2248 |
Second Address | Watonga, OK 73772 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2010 |
Last Update Date | 20/09/2011 |