Individual
DEBRA LYNETTE POPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
(918) 703-4805
Mailing address
1015 W WASHBOURNE ST, JAY, OK 74346-4205
(918) 703-4805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/30/2022
Last updated
04/03/2025
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