Individual
DEZARAE LYNN WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 W HEFNER RD APT 334, OKLAHOMA CITY, OK 73114-7013
(405) 361-8536
Mailing address
1209 W HEFNER RD APT 334, OKLAHOMA CITY, OK 73114-7013
(405) 361-8536
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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