Individual
MS. VICKI KERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
9 10TH AVE NW, ARDMORE, OK 73401-5929
(580) 226-1656
Mailing address
PO BOX 512, SPRINGER, OK 73458-0512
(580) 653-2204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
9182
TX
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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