Individual
MRS. KEESHA LEIGH KUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC #4250
Contact information
Practice address
417 E SILAS ST, BARTLESVILLE, OK 74003
(918) 337-6050
(918) 337-6061
Mailing address
417 E SILAS ST, BARTLESVILLE, OK 74003
(918) 337-6050
(918) 337-6061
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC#4250
OK
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200316290A
—
OK
Enumeration date
12/29/2008
Last updated
10/13/2014
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