Mr. Tanner Payne Underwood, LADC/MH
Mr. Tanner Payne Underwood, LADC/MH is a Mental Health Counselor in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
1015 Waterwood Pkwy Bldg G Ste H-1Edmond, OK 73034
Phone: (405) 831-4122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 1318 (OK) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 1318 (OK) |
Record details
| NPI number | 1326431990 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LADC/MH |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2015 |
| Last updated in NPPES | November 5, 2020 |
| Certification date | November 5, 2020 |
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