Individual
MRS. KAYLA RENEE PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, MS
Contact information
Practice address
115 1/2 EAST FIRST STREET, WATONGA, OK 73772-0000
(580) 774-9105
(580) 547-4076
Mailing address
216 W A ST, WATONGA, OK 73772-4208
(580) 774-9105
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
LPC06746
OK
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/25/2010
Last updated
06/22/2022
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