Provider Demographics
NPI:1083734495
Name:ESCOTT, K'LYNNE MICHELE (LPC, MS, BS)
Entity Type:Individual
Prefix:MS
First Name:K'LYNNE
Middle Name:MICHELE
Last Name:ESCOTT
Suffix:
Gender:F
Credentials:LPC, MS, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 W 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-4105
Mailing Address - Country:US
Mailing Address - Phone:405-377-1988
Mailing Address - Fax:
Practice Address - Street 1:2220 W 7TH AVE
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-4105
Practice Address - Country:US
Practice Address - Phone:405-377-1988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4267101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health