Individual
KATHRYN BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS IN COUNSELIN
Contact information
Practice address
1115 HARBOR RD, GROVE, OK 74344-3505
(918) 786-4434
(918) 786-4435
Mailing address
1115 HARBER RD, GROVE, OK 74344-3505
(918) 786-4434
(918) 786-4435
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4614
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
731013488
—
OK
Enumeration date
01/25/2010
Last updated
11/02/2015
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