| Doctor Name: | MS. JODI ANNE LINDER |
| NPI Number: | 1063855427 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.ED. |
| License Number: | |
| Business Practice Address: | 7905 E. Hwy 66 Gary E. Miller Children's Justice Center El Reno, OK - 73036 |
| Business Phone Number: | 4052620202 |
| Business Fax Number: | 4052620259 |
| Mailing Address: | 7905 E. Hwy 66, Gary E. Miller Children's Justice Center EL RENO |
| State: | OK |
| Postal Code: | 73036 |
| Phone Number: | 4052620202 |
| Fax Number: | 4052620259 |
| NPI Enumeration Date: | 04/16/2013 |
| NPI Last Update Date: | 04/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |