Provider Demographics
NPI:1144550591
Name:VENDETTI, JO LYNNE (MCP, LPC)
Entity type:Individual
Prefix:MRS
First Name:JO
Middle Name:LYNNE
Last Name:VENDETTI
Suffix:
Gender:F
Credentials:MCP, LPC
Other - Prefix:MS
Other - First Name:JO
Other - Middle Name:LYNNE
Other - Last Name:CATON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1202 W WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-2530
Mailing Address - Country:US
Mailing Address - Phone:580-484-6688
Mailing Address - Fax:
Practice Address - Street 1:1202 W WILLOW RD
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-2530
Practice Address - Country:US
Practice Address - Phone:580-484-6688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor