Individual
MS. KELLYN HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4717
(918) 207-0078
Mailing address
22005 E 660 RD, TAHLEQUAH, OK 74464-8230
(720) 402-5977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10795
CO
Other
Enumeration date
12/27/2010
Last updated
09/27/2021
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