Provider Demographics
NPI:1336430750
Name:VRSKA WEYGAND, KENDI DAWN (MS, LPC)
Entity type:Individual
Prefix:MRS
First Name:KENDI
Middle Name:DAWN
Last Name:VRSKA WEYGAND
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 S FRANKFORT AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74120-4247
Mailing Address - Country:US
Mailing Address - Phone:918-982-6974
Mailing Address - Fax:
Practice Address - Street 1:1209 S FRANKFORT AVE STE 300
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74120-4247
Practice Address - Country:US
Practice Address - Phone:918-982-6974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional