Organization
KENT SHIRLEY LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA JAY (BILLING & CREDENTIALING ADMIN)
(405) 906-0275
Entity
Organization
Contact information
Practice address
1763 W 33RD ST STE 110, EDMOND, OK 73013-3870
(405) 558-1214
(405) 757-0479
Mailing address
1763 W 33RD ST STE 110, EDMOND, OK 73013-3870
(405) 558-1214
(405) 757-0479
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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