Individual
MR. LARRY MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8831
(918) 696-8803
Mailing address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8831
(918) 696-8803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3024
OK
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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