Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 63641 | TX |
NPI | 1003181892 |
---|---|
Provider Name | Miss Layna Gail Lankford |
First Address | Weatherford, TX 76086-5384 |
Second Address | Weatherford, TX 76086-5439 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2012 |
Last Update Date | 13/03/2012 |