Individual
MRS. DESTYNI NICOLE TRAYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1100 NW 14TH ST, OKLAHOMA CITY, OK 73106-4450
(405) 609-6174
Mailing address
1100 NW 14TH ST, OKLAHOMA CITY, OK 73106-4450
(405) 609-6174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10125
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200757710A
—
OK
Enumeration date
11/05/2014
Last updated
05/10/2022
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