Individual
MS. KELA J HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA,BHRS,CM-D
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
Mailing address
3417 PARKER DR, OKLAHOMA CITY, OK 73135-1505
(405) 812-3551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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