Individual
MS. CARLA KAY AINSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2001 S COUNTRY CLUB RD, EL RENO, OK 73036-5689
(940) 886-8677
Mailing address
2001 S COUNTRY CLUB RD, EL RENO, OK 73036-5689
(940) 886-8677
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4946
OK
Other
Enumeration date
12/30/2012
Last updated
12/30/2012
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