Individual
WYAS GOFORTH PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1300 HOPPE BLVD STE 6, OUTPATIENT SERVICES-ADA, STRONG FAMILY DEVELOPMENT, ADA, OK 74820
(580) 436-1222
(580) 436-1333
Mailing address
210 E. MAIN, RESOURCE MANAGEMENT, ADA, OK 74820
(580) 436-7211
(580) 272-5757
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/07/2014
Last updated
01/11/2017
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