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Individual

MR. CALEB D. MCKEAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
11212 N MAY AVE, STE 107, OKLAHOMA CITY, OK 73120-6336
(575) 302-0698
Mailing address
703 SUNSET DR, EDMOND, OK 73003-5655
(575) 302-0698

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
LPC-6150
OK
101YP2500X
Professional Counselor
Primary
LPC-6150
OK

Other

Enumeration date
08/30/2016
Last updated
08/30/2016
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