Doctor Name: | MS. KAREN D ANDREWS |
NPI Number: | 1316106404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LBP |
License Number: | 0223 |
Business Practice Address: | 17 S Central Ave Idabel, OK - 747454625 |
Business Phone Number: | 5802865184 |
Business Fax Number: | 5802865185 |
Mailing Address: | 406 Se Harris Dr, IDABEL |
State: | OK |
Postal Code: | 747456604 |
Phone Number: | 5802865456 |
Fax Number: | 5802865185 |
NPI Enumeration Date: | 06/04/2008 |
NPI Last Update Date: | 06/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |