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Mrs. Carolyn Risor-wagner, MCP,LPC
Mental Health Counselor in Enid, Oklahoma
NPI 1568794683

Carolyn Risor-wagner is a Mental Health Counselor based in Enid, OK and is specialized in Mental Health. Carolyn Risor-wagner practices in Enid, OK and has the professional credentials of MCP,LPC. The NPI Number for Carolyn Risor-wagner is 1568794683 and holds a License No. (Oklahoma).

The current practice location address for Carolyn Risor-wagner is 1625 W Owen K Garriott Rd Ste F, Enid, OK and can be reached out via phone at 580-242-4673.

Location: 1625 W Owen K Garriott Rd Ste F, Enid, OK, 73703-5653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568794683
Provider Name
Carolyn Risor-wagner
Credential
MCP,LPC
Provider Entity Type
Individual
Gender
Female
Address
1625 W Owen K Garriott Rd Ste F, Enid, OK, 73703-5653
Phone Number
580-242-4673
Fax Number
Provider Enumeration Date
02/01/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20-5274892 05 OK
institution
Provider Business Practice Location Address Details
Address
1625 W Owen K Garriott Rd Ste F
City
Enid
State
Oklahoma
Zip
73703-5653
Phone Number
580-242-4673
Fax Number
person
Provider Business Mailing Address Details
Address
1625 W Owen K Garriott Rd Ste F
City
Enid
State
Oklahoma
Zip
73703-5653
Phone Number
580-242-4673
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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