Individual
JAMIE LYNN MUNGAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
114 W HARRISON AVE STE 103, GUTHRIE, OK 73044-4737
(405) 426-9080
Mailing address
114 W HARRISON AVE STE 103, GUTHRIE, OK 73044-4737
(405) 426-9080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200789570A
—
OK
Enumeration date
08/17/2018
Last updated
05/13/2022
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