Individual
MATTHEW RYAN KORSTJENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4301 NW 63RD ST, SUITE 100, OKLAHOMA CITY, OK 73116-1549
(405) 242-2969
(405) 421-0818
Mailing address
11200 N ANN ARBOR AVE, OKLAHOMA CITY, OK 73162-3728
(405) 317-9562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/23/2013
Last updated
12/15/2015
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