Individual
AMANDA KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC
Contact information
Practice address
1913 HUNTINGTON AVE, NICHOLS HILLS, OK 73116-5525
(405) 401-8629
Mailing address
1913 HUNTINGTON AVE, NICHOLS HILLS, OK 73116-5525
(405) 401-8629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11691
OK
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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