person
Dr. Lanny Ray Endicott, LCSW,LMFT
Mental Health Counselor in Broken Arrow, Oklahoma
NPI 1386920585

Lanny Ray Endicott is a Mental Health Counselor based in Tulsa, OK and is specialized in Mental Health. Lanny Ray Endicott practices in Broken Arrow, OK and has the professional credentials of LCSW,LMFT. The NPI Number for Lanny Ray Endicott is 1386920585 and holds a License No. LMFT 328 (Oklahoma).

The current practice location address for Lanny Ray Endicott is 3631 S Elm Pl, Broken Arrow, OK and can be reached out via phone at 918-557-8789.

Location: 3631 S Elm Pl, Broken Arrow, OK, 74105-8401
person
Provider Profile Details
NPI Number
1386920585
Provider Name
Lanny Ray Endicott
Credential
LCSW,LMFT
Provider Entity Type
Individual
Gender
Male
Address
3631 S Elm Pl, Broken Arrow, OK, 74105-8401
Phone Number
918-557-8789
Fax Number
Provider Enumeration Date
11/01/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3631 S Elm Pl
City
State
Zip
74011-1856
Phone Number
918-557-8789
Fax Number
person
Provider Business Mailing Address Details
Address
3631 S Elm Pl
City
State
Zip
74011-1856
Phone Number
918-557-8789
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LMFT 328 (Oklahoma)
Definition
Definition to come...
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