Organization
KERBY BEHAVIORAL DEVELOPMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARA J KERBY LADC (CEO)
(918) 718-9004
Entity
Organization
Contact information
Practice address
402 JANET ST, TAHLEQUAH, OK 74464-7028
(918) 718-9004
(918) 431-1180
Mailing address
PO BOX 613, TAHLEQUAH, OK 74465-0613
(918) 718-9004
(918) 431-1180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
819
OK
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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