Individual
MRS. KAYLA RENEE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC/MH
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
Mailing address
3139 SW 103RD ST, OKLAHOMA CITY, OK 73159-6041
(405) 837-6681
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1319
OK
101YM0800X
Mental Health Counselor
1319
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200656680A
—
OK
Enumeration date
07/20/2016
Last updated
12/17/2020
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