Individual
MS. LANETTE KAY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-4932
(405) 270-7576
Mailing address
17900 TWISTED OAK RD, CHOCTAW, OK 73020-6427
(405) 391-2331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1622
OK
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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