Individual provider · Type 1 NPI

Jerry Wyatt, MBS

Professional Counselor · Durant, OK

NPI number 1508999558 Active

Practice location

1925 W Elm St
Durant, OK 74701-3429

Call (580) 924-6363 Map

Fax (580) 924-0379

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3456 (OK)

Professional Counselor: Definition to come...

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About NPI 1508999558

Jerry Wyatt, MBS's National Provider Identifier is 1508999558, issued on Mar 13, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Durant, OK. The record was last updated on Aug 21, 2008.