Canup, Susan L

Canup, Susan L is an sole proprietor health care provider with primary practice located at 730 E Main St Suite 105, Ada OK 74820-5614. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Canup, Susan L can be contacted via phone (580) 272-3962.

Contact Information

Primary practice address
730 E Main St Suite 105 Ada OK 74820-5614
Phone: (580) 272-3962
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 572 Oklahoma
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2241 Oklahoma

Profile Details

NPI number 1508113739
LBN Legal business name Canup, Susan L
Credentials LPC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2012
Last updated Jun 19th, 2015 - about 10 years 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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