JAYLENE LANDER

LAWTON, OK
NPI1063509602
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  0077)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  398)
Enumeration Date2006-10-06
Last Update Date2011-05-12
Business Address
-- JAYLENE LANDER LBP
1719 SW 11TH ST
LAWTON, OK 73501-7305
Phone number: 580-581-1818
Mailing Address
-- JAYLENE LANDER LBP
PO BOX 662
PURCELL, OK 73080-0662
Phone number: 405-527-1785