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Individual

KIMBERLY RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Mailing address
3908 S 74TH WEST CIR, TULSA, OK 74107-4850
(918) 640-6875

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3314
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3314
LPC NUMBER
OK
Enumeration date
06/04/2007
Last updated
02/28/2018
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