Individual
MRS. KARLA KIMBERLEY SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCP, LPC
Contact information
Practice address
222 N TAFT ST, ENID, OK 73703-4001
(580) 548-3953
Mailing address
222 N TAFT ST, ENID, OK 73703-4001
(580) 548-3953
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4530
OK
Other
Enumeration date
07/30/2011
Last updated
01/13/2012
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