Individual
MRS. LISA M. WHERTVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,LPC
Contact information
Practice address
301 W MAIN ST STE 324, ARDMORE, OK 73401-6322
(580) 226-9222
(580) 226-9226
Mailing address
301 W MAIN ST STE 324, ARDMORE, OK 73401-6322
(580) 226-9222
(580) 226-9226
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1777
OK
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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