Individual provider · Type 1 NPI

Jaylene Lander, LBP

Mental Health Counselor · Lawton, OK

NPI number 1063509602 Active

Practice location

1719 SW 11th St
Lawton, OK 73501-7305

Call (580) 581-1818 Map

Fax (580) 581-1819

Mailing address

PO Box 662
Purcell, OK 73080-0662

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0077 (OK)
Addiction (Substance Use Disorder) Counselor 101YA0400X398 (OK)

Mental Health Counselor: Definition to come...

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About NPI 1063509602

Jaylene Lander, LBP's National Provider Identifier is 1063509602, issued on Oct 6, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawton, OK. The record was last updated on May 12, 2011.