Individual
LYNETT C. MITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC/MH
Contact information
Practice address
5601 NW 72ND ST STE 234, WARR ACRES, OK 73132-5920
(580) 374-3304
Mailing address
9900 W HIGHWAY 66 APT 2510, YUKON, OK 73099-0029
(580) 374-3304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1460
OK
Other
Enumeration date
12/01/2015
Last updated
11/07/2023
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