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
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None 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.