Organization
KELCY ECKELS COUNSELING AND PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELCY ECKELS (OWNER/OPERATOR/THERAPIST)
(405) 808-3987
Entity
Organization
Contact information
Practice address
5530 N WESTERN AVE, STE 101, OKLAHOMA CITY, OK 73118-4014
(405) 808-3987
Mailing address
5530 N WESTERN AVE, STE 101, OKLAHOMA CITY, OK 73118-4014
(405) 808-3987
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5487
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200361630B
—
OK
Enumeration date
07/23/2015
Last updated
07/23/2015
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