person
Mrs. Kenna Marie Wise, LPC
Professional Counselor in Clinton, Oklahoma
NPI 1023340643

Kenna Marie Wise is a Professional Counselor based in Weatherford, OK and is specialized in Professional. Kenna Marie Wise practices in Clinton, OK and has the professional credentials of LPC. The NPI Number for Kenna Marie Wise is 1023340643 and holds a License No. 3631 (Oklahoma).

The current practice location address for Kenna Marie Wise is 2250 W Modelle Ave, Clinton, OK and can be reached out via phone at 580-383-7609. You can also correspond with Kenna Marie Wise through the mailing address at 110 E FRANKLIN AVE, WEATHERFORD, OK - 73096-5156 (mailing address contact number: 580-373-7609).

Location: 2250 W Modelle Ave, Clinton, OK, 73096-5156
person
Provider Profile Details
NPI Number
1023340643
Provider Name
Kenna Marie Wise
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2250 W Modelle Ave, Clinton, OK, 73096-5156
Phone Number
580-383-7609
Fax Number
Provider Enumeration Date
02/06/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2250 W Modelle Ave
City
State
Zip
73601-3749
Phone Number
580-383-7609
Fax Number
person
Provider Business Mailing Address Details
Address
110 E Franklin Ave
City
State
Zip
73096-5156
Phone Number
580-373-7609
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3631 (Oklahoma)
Definition
Definition to come...
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