Tanner Ray Gordon Madden, LMSW | |
216 S Main St, Lindsay, OK 73052-5634 | |
(405) 756-1414 | |
Not Available |
Full Name | Tanner Ray Gordon Madden |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 216 S Main St, Lindsay, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801617006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 21050 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Tanner Ray Gordon Madden, LMSW 216 S Main St, Lindsay, OK 73052-5634 Ph: (405) 756-1414 | Tanner Ray Gordon Madden, LMSW 216 S Main St, Lindsay, OK 73052-5634 Ph: (405) 756-1414 |
Ms. Crista Jill Northington, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 216 S Main St, Lindsay, OK 73052 Phone: 405-756-1414 | |
Mr. Tony Wilson, M.ED,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14844 E County Road 1520, Lindsay, OK 73052 Phone: 405-756-6082 Fax: 405-310-4052 |