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Ms. Lana Michelle Medlock
Mental Health Counselor in Durant, Oklahoma
NPI 1376812685

Lana Michelle Medlock is a Mental Health Counselor based in Durant, OK and is specialized in Mental Health. Lana Michelle Medlock practices in Durant, OK. The NPI Number for Lana Michelle Medlock is 1376812685 and holds a License No. (Oklahoma).

The current practice location address for Lana Michelle Medlock is 1604 N Washington Ave, Durant, OK and can be reached out via phone at 580-920-0909.

Location: 1604 N Washington Ave, Durant, OK, 74701-2128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376812685
Provider Name
Lana Michelle Medlock
Credential
Provider Entity Type
Individual
Gender
Female
Address
1604 N Washington Ave, Durant, OK, 74701-2128
Phone Number
580-920-0909
Fax Number
Provider Enumeration Date
12/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1604 N Washington Ave
City
Durant
State
Oklahoma
Zip
74701-2128
Phone Number
580-920-0909
Fax Number
person
Provider Business Mailing Address Details
Address
1604 N Washington Ave
City
Durant
State
Oklahoma
Zip
74701-2128
Phone Number
580-920-0909
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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