Individual
DONNA JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-C
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 766-7035
Mailing address
600 E FOREST LN, MUSTANG, OK 73064-4612
(405) 927-3221
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7486
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2018
Last updated
11/29/2021
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