Individual
MS. KERRY REBECCA ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13510 E 130TH ST, BROKEN ARROW, OK 74011-2357
(918) 451-6872
(918) 451-6872
Mailing address
13510 E 130TH ST, BROKEN ARROW, OK 74011-2357
(918) 451-6872
(918) 451-6872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1333
OK
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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