Individual
KIMBERLY D YOUNG-COLLOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11740 E 21ST ST, TULSA, OK 74129-1820
(918) 437-9495
Mailing address
17824 E SUNSET RDG, OWASSO, OK 74055-7581
(580) 352-4152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5292
OK
Other
Enumeration date
04/19/2010
Last updated
10/10/2024
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