Individual
KIMINECE REDAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5505 MAIN STREET, DEL CITY, OK 73115-1315
(405) 609-6595
Mailing address
5505 MAIN ST, DEL CITY, OK 73115-5509
(405) 609-6595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
11/06/2012
Last updated
02/29/2016
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