Individual
WYNELL JEAN LLOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7565 E US HIGHWAY 66, EL RENO, OK 73036-9120
(405) 262-6555
(405) 262-6557
Mailing address
PO BOX 1207, EL RENO, OK 73036-1207
(405) 262-6555
(405) 262-6557
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2784
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100731420A
—
OK
Enumeration date
01/12/2012
Last updated
01/12/2012
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