Organization
KORI ZIBELL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORI ZIBELL LADC (OWNER)
(405) 850-5860
Entity
Organization
Contact information
Practice address
2529 S KELLY AVE, C, EDMOND, OK 73013-2966
(405) 850-5860
(405) 562-1975
Mailing address
2529 S KELLY AVE, C, EDMOND, OK 73013-2966
(405) 562-1975
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1013
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200437270A
—
OK
Enumeration date
01/21/2015
Last updated
01/21/2015
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