Individual
MRS. KELSEY HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
2000 E 15TH ST STE 450C, EDMOND, OK 73013-6670
(580) 890-9653
Mailing address
1117 WOODFORD CT, EDMOND, OK 73034-6448
(580) 890-9653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7231
OK
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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