Amanda Lee Wiens, LPC | |
1425 N Main St, Ste 2, Fairview, OK 73737 | |
(405) 664-7540 | |
(580) 701-2658 |
Full Name | Amanda Lee Wiens |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1425 N Main St, Fairview, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477872844 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 3575 (Oklahoma) | Secondary |
101YM0800X | Counselor - Mental Health | LPC03575 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Amanda Lee Wiens, LPC Po Box 265, Fairview, OK 73737 Ph: (405) 664-7540 | Amanda Lee Wiens, LPC 1425 N Main St, Ste 2, Fairview, OK 73737 Ph: (405) 664-7540 |
Kelly Emma Mcgolden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 N 10th Ave, Fairview, OK 73737 Phone: 405-880-6525 | |
Mary Kliewer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1425 N. Main, Suite 1, Fairview, OK 73737 Phone: 580-227-2088 Fax: 580-227-2349 |