Individual
MS. LORI LYNNE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1105 S.W. 30TH COURT, MOORE, OK 73160
(405) 378-2727
Mailing address
2036 NW 22ND ST, OKLAHOMA CITY, OK 73106-1618
(405) 425-0494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3048
OK
Other
Enumeration date
08/31/2006
Last updated
08/24/2015
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