Individual
ISABELLA VINYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2206 N KICKAPOO AVE, SHAWNEE, OK 74804-2703
(405) 406-3309
Mailing address
617 N RAMBLIN OAKS DR, MOORE, OK 73160-7930
(405) 406-3309
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
04/17/2026
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