JERRY WYATT, MBS

Counselor - Professional

Active Individual
NPI: 1508999558

Practice Address

1925 W ELM ST
Durant, OK 74701

Phone: (580) 924-6363

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 3456 (OK)

Frequently Asked Questions

NPI 1508999558 is the National Provider Identifier for JERRY WYATT, MBS, a Counselor - Professional provider located in Durant, OK. This NPI was enumerated on March 13, 2007.
JERRY WYATT, MBS practices at 1925 W ELM ST, Durant, OK 74701.

Quick Facts

NPI
1508999558
Type
Individual
Enumerated
Mar 13, 2007
Last Updated
Aug 21, 2008

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