Individual
KENISHA MICHELLE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5533 KEITH DR, OKLAHOMA CITY, OK 73135-2335
(405) 215-5418
Mailing address
5533 KEITH DR, OKLAHOMA CITY, OK 73135-2335
(405) 215-5418
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2011
Last updated
10/31/2012
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