Individual
DR. KELLY MICHELLE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D., LPC NCC RPT
Contact information
Practice address
15803 NE 23RD ST # B, CHOCTAW, OK 73020-8428
(405) 639-9999
Mailing address
623 N CAROLYN DR, CHOCTAW, OK 73020-7481
(405) 464-8679
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2381
OK
Other
Enumeration date
07/09/2012
Last updated
02/13/2013
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