Individual
TERESA LYNN MUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 425-0495
Mailing address
600 NW 138TH ST, EDMOND, OK 73013-1963
(405) 640-2011
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1417
OK
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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