Individual provider · Type 1 NPI

Andra Lane Wingo, B.S.

Mental Health Counselor · Bokchito, OK

NPI number 1306271663 Active

Practice location

413 N Bugg St
Bokchito, OK 74726-1211

Fax (580) 564-7309

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

About NPI 1306271663

Andra Lane Wingo, B.S.'s National Provider Identifier is 1306271663, issued on Sep 5, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bokchito, OK. The record was last updated on Sep 5, 2013.