Individual
MRS. KIMBERLY D DESOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC, LPC-S, NCC
Contact information
Practice address
921 NE 13TH ST., OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
921 NE 13TH ST., OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5870
OK
101YP2500X
Professional Counselor
Primary
MH12221
FL
Other
Enumeration date
03/03/2012
Last updated
10/24/2024
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