Individual
MRS. CYNTHIA LYNN COLLINS-CLARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1616 E 19TH ST, SUITE 404, EDMOND, OK 73013-6627
(405) 474-3467
(405) 341-3467
Mailing address
4001 E 30TH ST, EDMOND, OK 73013-7950
(405) 474-3467
(405) 341-3467
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2218
OK
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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