Individual
LAURA KAY WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
717 B HWY E, KINGSTON, OK 73439
(580) 564-7308
Mailing address
12217 KAY CIR, KINGSTON, OK 73439-3922
(580) 263-8882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
84146
TX
101YP2500X
Professional Counselor
Primary
LPC07504
OK
Other
Enumeration date
09/03/2015
Last updated
02/23/2026
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