Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | UNDER SUPERVISION |
NPI | 1003027798 |
---|---|
Provider Name | Dannie Sue Wright |
First Address | Byars, OK 74831-7351 |
Second Address | Seminole, OK 74868-3423 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 08/07/2007 |