Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Wyatt, MBS

Individual provider Professional Counselor · NPI 1508999558

Jerry Wyatt, MBS is a Professional Counselor in Durant, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2007

Practice location Address checks out

1925 W Elm St
Durant, OK 74701-3429
Phone: (580) 924-6363
Fax: (580) 924-0379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3456 (OK)

Record details

NPI number1508999558
Entity typeIndividual (Type 1)
GenderMale
Credentials MBS
Sole proprietorYes
NPI enumeratedMarch 13, 2007
Last updated in NPPESAugust 21, 2008
Mailing address1925 W Elm St, Durant, OK 74701-3429

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