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NPI Code Detail

MEDICARE: MR. WILLIAM CHARLES LAYMANCE LPC CANDIDATE

MEDICARE: MR. WILLIAM CHARLES LAYMANCE LPC CANDIDATE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1285149765
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM CHARLES LAYMANCE LPC CANDIDATE
Provider Business Mailing Address
First Line : 6003 S MARION AVE
Second Line :
City : TULSA
State : OK
Zip : 74135-7811
Country : US
Telephone Number : 580-504-1222
Fax Number :
Provider Business Practice Location Address
First Line : 6216 S LEWIS AVE STE 102
Second Line :
City : TULSA
State : OK
Zip : 74136-1075
Country : US
Telephone Number : 918-960-7852
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2017
Last Update Date : 12/06/2017

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