LAURA KAY WISE

KINGSTON, OK
NPI1932577277
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OK  LPC07504)
Additional Taxonomies101YM0800X Counselor, Mental Health
101YP2500X Counselor, Professional
(Licence: TX  84146)
Enumeration Date2015-09-03
Last Update Date2024-07-16
Business Address
LAURA KAY WISE LPC
717 B HWY E
KINGSTON, OK 73439
Phone number: 580-564-7308
Mailing Address
LAURA KAY WISE LPC
1036 RIDGEVIEW DRIVE APT 2D
MADILL, OK 73446
Phone number: 580-263-8882