Individual
MRS. SHAYANNA ESPINOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6803 S WESTERN AVE, OKLAHOMA CITY, OK 73139
(405) 641-2639
Mailing address
404 N MORGAN DR, MOORE, OK 73160-6947
(405) 641-2639
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200464560A
—
OK
05
—
200464560B
—
OK
Enumeration date
04/13/2012
Last updated
07/11/2023
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