Individual
KERRIS LAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7141 S WESTERN AVE, OKLAHOMA CITY, OK 73139-2000
(405) 339-2097
Mailing address
PO BOX 6211, MOORE, OK 73153-0211
(405) 339-2097
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
00000000000000000000
OK
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/01/2017
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