Terrell, Wylan

Terrell, Wylan is an sole proprietor health care provider with primary practice located at 2713 S Hemlock Ave , Broken Arrow OK 74012-0818. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Terrell, Wylan can be contacted via phone (918) 851-2675.

Contact Information

Primary practice address
2713 S Hemlock Ave Broken Arrow OK 74012-0818
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1174861306
LBN Legal business name Terrell, Wylan
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2013
Last updated Jan 23rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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