Individual
BRIA DANIELLE TYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC CANDIDATE
Contact information
Practice address
905 HOLIDAY DR, ARDMORE, OK 73401-1216
(580) 226-5003
Mailing address
276 TIMBER RD, ARDMORE, OK 73401-0620
(580) 229-3870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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