Individual
LYNDEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12701 N PENN AVE APT 214, OKLAHOMA CITY, OK 73120-9419
(405) 886-6126
Mailing address
12701 N PENN AVE APT 214, OKLAHOMA CITY, OK 73120-9419
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P080797362
—
OK
Enumeration date
08/27/2009
Last updated
08/27/2009
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