Tanner, Andrea Lashawn

Tanner, Andrea Lashawn is an sole proprietor health care provider with primary practice located at 10 Sw 2Nd St Ste 4 , Lawton OK 73501-4027. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tanner, Andrea Lashawn can be contacted via phone (580) 512-9862.

Contact Information

Primary practice address
10 Sw 2Nd St Ste 4 Lawton OK 73501-4027
Phone: (580) 512-9862
Fax: (580) 585-5890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 354 Oklahoma
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 705 Louisiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3171 Oklahoma

Profile Details

NPI number 1629288899
LBN Legal business name Tanner, Andrea Lashawn
Credentials ABD, LPC, LMFT, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2007
Last updated Apr 10th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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