Individual
SUMMER WYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
2907 W 108TH PL S, JENKS, OK 74037-2481
(918) 212-4091
Mailing address
2907 W 108TH PL S, JENKS, OK 74037-2481
(918) 212-4091
(918) 960-9551
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6295
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200552980A
—
OK
Enumeration date
09/02/2014
Last updated
01/04/2018
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