Provider Demographics
NPI:1891721791
Name:SAILOR, JOANNI (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:JOANNI
Middle Name:
Last Name:SAILOR
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 W. GORE BLVD.
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73501
Mailing Address - Country:US
Mailing Address - Phone:580-248-7272
Mailing Address - Fax:580-351-0084
Practice Address - Street 1:1002 W. GORE BLVD.
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501
Practice Address - Country:US
Practice Address - Phone:580-248-7272
Practice Address - Fax:580-351-0084
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK48106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist