Individual
WENDY YVONNE VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
213 W JACKSON AVE, MCALESTER, OK 74501-4029
(918) 916-7593
(918) 429-0588
Mailing address
213 W JACKSON AVE, MCALESTER, OK 74501-4029
(918) 916-7593
(918) 429-0588
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1187
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100636540B
—
OK
Enumeration date
05/18/2006
Last updated
05/05/2010
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