Individual
LISA DOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPS, LPC
Contact information
Practice address
202 S WASHITA AVE, WYNNEWOOD, OK 73098-7820
(918) 861-7652
Mailing address
202 S WASHITA AVE, WYNNEWOOD, OK 73098-7820
(918) 861-7652
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11601
OK
Other
Enumeration date
03/16/2019
Last updated
07/04/2026
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