Individual
MS. KELLY JEAN SMITH-TROUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
407 W SOUTH AVE, PONCA CITY, OK 74601-6133
(844) 458-2100
Mailing address
407 W SOUTH AVE, PONCA CITY, OK 74601-6133
(844) 458-2100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4513
OK
Other
Enumeration date
04/03/2007
Last updated
08/25/2023
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