Individual
KELLI HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
301 LILAC DR STE 230, EDMOND, OK 73034-7432
(405) 209-0494
Mailing address
1408 PASEO BRIDGE CT, EDMOND, OK 73034-1094
(405) 209-0494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10058
OK
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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