MRS. MARY LYNN WILLARD LPC - NPI 1184989345

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

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About Mrs. Mary Lynn Willard Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY LYNN WILLARD LPC (NPI 1184989345) is an individual professional provider in Norman, Oklahoma, licensed in Oklahoma (4599) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1184989345

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. MARY LYNN WILLARDCredential: LPC

Location Address1650 W TECUMSEH RD STE 500Norman, OK 73069-8284

Mailing Address1650 W Tecumseh Rd Ste 500Norman, OK 73069-8284 · (405) 321-0240 · Fax (405) 321-7564

Phone(405) 321-0240

Fax(405) 321-7564

Sole ProprietorYes

Enumeration DateJuly 12, 2012

✔ NPI 1184989345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in OK · 4599

1650 W TECUMSEH RD STE 500, Norman, OK 73069

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Other Identifiers 1

Medicaid100708460BOK

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEATHER PUCKETT

Counselor (Professional)