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Mrs. Edith Maria Leerdam
Counselor in Broken Arrow, Oklahoma
NPI 1396012357

Edith Maria Leerdam is a Counselor based in Broken Arrow, OK. Edith Maria Leerdam practices in Broken Arrow, OK. The NPI Number for Edith Maria Leerdam is 1396012357 and holds a License No. (Oklahoma).

The current practice location address for Edith Maria Leerdam is 1217 W Knoxville St, Broken Arrow, OK and can be reached out via phone at 918-258-1857 and via fax at 918-258-6987.

Location: 1217 W Knoxville St, Broken Arrow, OK, 74012-8434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396012357
Provider Name
Edith Maria Leerdam
Credential
Provider Entity Type
Individual
Gender
Female
Address
1217 W Knoxville St, Broken Arrow, OK, 74012-8434
Phone Number
918-258-1857
Fax Number
918-258-6987
Provider Enumeration Date
11/18/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1217 W Knoxville St
City
Broken Arrow
State
Oklahoma
Zip
74012-8434
Phone Number
918-258-1857
Fax Number
918-258-6987
person
Provider Business Mailing Address Details
Address
1217 W Knoxville St
City
Broken Arrow
State
Oklahoma
Zip
74012-8434
Phone Number
918-258-1857
Fax Number
918-258-6987
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Oklahoma)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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